| NPI | 1821617416 |
|---|---|
| Former Name | ALI SUE HAINES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NE 17285A) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: WY 17285A) |
| Enumeration Date | 2020-04-13 |
| Last Update Date | 2024-09-25 |