NPI | 1730643313 |
---|---|
Former Name | HALEY E HANSELER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OR PG204652) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR PG204652) |
Enumeration Date | 2019-01-28 |
Last Update Date | 2022-03-28 |