NPI | 1639822190 |
---|---|
Former Name | HAYLEY WYNNE MILEWICZ HOWARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AL 1-182230) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-182230) |
Enumeration Date | 2022-02-03 |
Last Update Date | 2024-01-29 |