NPI | 1770929036 |
---|---|
Former Name | HAYLEY DAWN HOUSE AND KEMP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: UT 8447955-1206) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: UT 8447955-1206) |
363AM0700X Physician Assistant, Medical | |
Enumeration Date | 2013-05-14 |
Last Update Date | 2024-12-12 |