| NPI | 1649530684 |
|---|---|
| Former Name | MARY JENNIFER HALEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 382302) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 577026) |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2014-05-19 |