NPI | 1053398909 |
---|---|
Former Name | CATHIE SUE GWIN-HENNEBERRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ND R36163) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MT RN26836) |
Enumeration Date | 2005-12-30 |
Last Update Date | 2019-04-15 |