NPI | 1013593755 |
---|---|
Former Name | HALEY MARGERET HENSEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11008484) |
Additional Taxonomies | 2080C0008X Pediatrics, Child Abuse Pediatrics |
Enumeration Date | 2021-03-23 |
Last Update Date | 2021-09-24 |