NPI | 1962853267 |
---|---|
Former Name | HALEY ANDERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 112033) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NE 112033) |
Enumeration Date | 2016-06-28 |
Last Update Date | 2019-03-03 |