NPI | 1841847753 |
---|---|
Former Name | JASMINE RENAY HAYDEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11003840) |
Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL 11003840) |
Enumeration Date | 2019-08-26 |
Last Update Date | 2022-12-19 |