NPI | 1134421837 |
---|---|
Former Name | TREESA HENNESSEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: IA B-116342) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A116342) |
367A00000X Advanced Practice Midwife (Licence: MO 2011014623) | |
Enumeration Date | 2010-12-01 |
Last Update Date | 2020-10-28 |