NPI | 1831445915 |
---|---|
Former Name | DENA ROSE HAYES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2012024328) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 75712) |
Enumeration Date | 2012-07-26 |
Last Update Date | 2012-07-26 |