| NPI | 1770121568 |
|---|---|
| Former Name | HALEY SHOCKLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AL 1-135674) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-135674) |
| Enumeration Date | 2019-12-12 |
| Last Update Date | 2019-12-12 |