| NPI | 1457846222 |
|---|---|
| Former Name | THEA ROSE SENGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704348100) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NJ 26NJ00875000) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 382869) | |
| 163W00000X Registered Nurse (Licence: NY 723823) | |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2023-05-09 |