| NPI | 1821617416 |
|---|---|
| Former Name | ALI SUE HAINES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 35521) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NE 35521) | |
| Enumeration Date | 2020-04-13 |
| Last Update Date | 2023-07-31 |