| NPI | 1750942215 |
|---|---|
| Former Name | KELLEY DANIELLE HALE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AR A006217) |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2022-06-16 |