| NPI | 1407994940 |
|---|---|
| Former Name | MILLICENT L HENRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN178172) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F303967-1) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY f403183-01) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN178172) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY f303967-01) | |
| Enumeration Date | 2007-02-04 |
| Last Update Date | 2024-04-16 |