| NPI | 1982216354 |
|---|---|
| Former Name | HALEY PANKAU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NE 101760) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 962200) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2023019238) | |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2023-07-24 |