NPI | 1780209429 |
---|---|
Former Name | HAYLEY E WEBBER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: KY PA2926) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: KY TC155) |
363AM0700X Physician Assistant, Medical (Licence: KY PA2926) | |
363AS0400X Physician Assistant, Surgical (Licence: KY PA2926) | |
Enumeration Date | 2020-06-09 |
Last Update Date | 2022-11-11 |