NPI | 1316479678 |
---|---|
Former Name | ANDREA NICOLE HENSLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NC 501084) |
Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: TN NP22451) |
Enumeration Date | 2017-03-28 |
Last Update Date | 2023-06-01 |