NPI | 1184016842 |
---|---|
Former Name | SECONDRIA MONIQUE HENRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 19798) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS R882517) |
Enumeration Date | 2015-03-04 |
Last Update Date | 2022-08-23 |