NPI | 1174890008 |
---|---|
Professional Name | HEATHER E HENSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA MH2559601) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MI 5601006126) |
Enumeration Date | 2011-11-21 |
Last Update Date | 2020-10-20 |