| NPI | 1205165222 |
|---|---|
| Other Name | TEIA HENDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: IL 209.007896) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209.007896) |
| Enumeration Date | 2009-12-22 |
| Last Update Date | 2025-03-12 |