NPI | 1194045104 |
---|---|
Former Name | EDITH L HENSLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3006448) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 6448P) |
Enumeration Date | 2010-06-02 |
Last Update Date | 2023-02-13 |