| NPI | 1659871762 |
|---|---|
| Former Name | HALEY DANAE REID |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11006222) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN260216) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN260216) | |
| Enumeration Date | 2018-02-15 |
| Last Update Date | 2020-05-12 |