| NPI | 1306847686 |
|---|---|
| Former Name | ELAINE RUTH BROSIOUS-HENSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 16376) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ AZNP54) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2024-06-24 |