| NPI | 1114267176 |
|---|---|
| Former Name | TIA CAMILLE HENSLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 17440) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 12998) |
| Enumeration Date | 2013-02-27 |
| Last Update Date | 2022-03-30 |