NPI | 1992000780 |
---|---|
Former Name | HALEY RIGGS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NH 1136) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA PA4118) |
363A00000X Physician Assistant (Licence: CT 2738) | |
Enumeration Date | 2011-01-26 |
Last Update Date | 2016-03-15 |