NPI | 1104963743 |
---|---|
Former Name | CYNTHIA A HENSEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: PA SP008997) |
Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: PA SP016057) |
Enumeration Date | 2007-01-31 |
Last Update Date | 2023-09-14 |