| NPI | 1942807037 |
|---|---|
| Former Name | HALEY MARIE FITZGERALD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA062591) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NJ 25MP00591300) |
| Enumeration Date | 2020-10-02 |
| Last Update Date | 2026-02-06 |