| NPI | 1679969554 |
|---|---|
| Former Name | HALEY E HAUSSER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 10935) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN23131) |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2019-08-28 |