| NPI | 1609305168 |
|---|---|
| Former Name | MICHAELA LEE ANDAYA HAUGLAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95014727) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A129829) |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2020-12-10 |