NPI | 1194397000 |
---|---|
Former Name | CHERYLLE MARIE HENKEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX 1130882) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 728318) |
Enumeration Date | 2021-07-12 |
Last Update Date | 2023-09-14 |