NPI | 1801414909 |
---|---|
Former Name | JESSE HAYES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 25225) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 25225) |
Enumeration Date | 2020-07-06 |
Last Update Date | 2023-10-30 |