NPI | 1780033605 |
---|---|
Former Name | HALEY PAIGE TOWER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 99217) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK R0099217) |
Enumeration Date | 2016-06-10 |
Last Update Date | 2017-04-05 |