| NPI | 1407002603 |
|---|---|
| Former Name | LORETTA SUE HENSLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3005770) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 1083291) |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2018-12-10 |