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 |