| NPI | 1992238059 |
|---|---|
| Former Name | LIANA IRIS HAYNES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ AP10253) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN172191) |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2017-11-22 |