NPI | 1841554870 |
---|---|
Former Name | HAILEY WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR 221976) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: AR L48992) |
Enumeration Date | 2012-06-25 |
Last Update Date | 2022-10-17 |