| NPI | 1114269602 |
|---|---|
| Former Name | GAYLE M HENNESSY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ01362300) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR09951800) |
| 163W00000X Registered Nurse (Licence: PA RN306337L) | |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2023-11-20 |