| NPI | 1053556209 |
|---|---|
| Former Name | JACQUELYN HENDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: VA 0024164424) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001137127) |
| 363L00000X Nurse Practitioner (Licence: VA 0024164424) | |
| Enumeration Date | 2008-12-02 |
| Last Update Date | 2024-06-24 |