NPI | 1942233762 |
---|---|
Former Name | OLIVIA RUTH HAYES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN113495) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN113495) |
Enumeration Date | 2006-07-07 |
Last Update Date | 2023-11-15 |