| NPI | 1386056117 |
|---|---|
| Former Name | MARY CHRISTINE HENESH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID N-31924) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ID NP-1436A) |
| 363LF0000X Nurse Practitioner, Family (Licence: ID 1436A) | |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2024-05-14 |