NPI | 1396404117 |
---|---|
Professional Name | TATONISHA LASHA GREEN-HENDERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1067977) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 657879) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1067977) | |
Enumeration Date | 2021-12-08 |
Last Update Date | 2023-08-08 |