| NPI | 1790123164 |
|---|---|
| Former Name | ANN CAMERON HALEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085.004727) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2024-03-29 |