NPI | 1467604231 |
---|---|
Former Name | NANCY LEE HENDERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 30096) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA 25240) |
Enumeration Date | 2008-10-10 |
Last Update Date | 2010-02-26 |