| NPI | 1912659582 |
|---|---|
| Other Name | HALEY DAWN HACKMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 66771) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1093609) |
| Enumeration Date | 2022-01-24 |
| Last Update Date | 2022-11-09 |