NPI | 1134870173 |
---|---|
Former Name | JAMIE HENSLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MO 2022002467) |
Enumeration Date | 2022-01-11 |
Last Update Date | 2025-02-17 |