NPI | 1316585813 |
---|---|
Former Name | SHERKEYSHA HENDERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 903632) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 32711) |
363LF0000X Nurse Practitioner, Family (Licence: TN 26906) | |
Enumeration Date | 2019-12-16 |
Last Update Date | 2024-04-09 |