NPI | 1750954848 |
---|---|
Former Name | HAYLEY HAWKINS ROLLINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024182080) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001239287) |
Enumeration Date | 2021-07-19 |
Last Update Date | 2021-09-01 |