| NPI | 1699385872 |
|---|---|
| Former Name | TAZIALYNN LEILANI HEGARTY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-3022) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI 84575) |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2023-04-17 |