| NPI | 1265789853 |
|---|---|
| Other Name | AUTUMN N HENSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: VA 0024182744) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MO 2012028199) |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2023-09-26 |