| NPI | 1922298678 |
|---|---|
| Former Name | ANDREA DAWN HALEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ID M11047) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR LL17364) |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2024-03-19 |