| NPI | 1720289739 |
|---|---|
| Former Name | BRIDGETT A HAYNES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: AZ 40596) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 40596) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2013-07-10 |