| NPI | 1750763371 |
|---|---|
| Former Name | HALLEY PATRICIA HAVER CRISSMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VC0300X Obstetrics & Gynecology, Complex Family Planning (Licence: MI 4301117079) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301117079) |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2024-04-10 |