NPI | 1639760457 |
---|---|
Former Name | CAMILE A HAYS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11011427) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11011427) |
Enumeration Date | 2021-02-03 |
Last Update Date | 2023-09-06 |