| NPI | 1649032707 |
|---|---|
| Former Name | HALEIGH HANNA PUCHEU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MS PA00786) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2024-01-24 |
| Last Update Date | 2024-02-27 |