| NPI | 1952948978 |
|---|---|
| Former Name | LYDIA HAYES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 27206) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: TN 212561) |
| Enumeration Date | 2019-12-09 |
| Last Update Date | 2021-02-24 |