| NPI | 1942658596 |
|---|---|
| Other Name | HALEY JOHNSON DAIGLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TX U3501) |
| Additional Taxonomies | 208600000X Surgery (Licence: GA 008227) |
| 208600000X Surgery (Licence: TN 63256) | |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2023-10-24 |