| NPI | 1497868558 |
|---|---|
| Former Name | JENNIFER E HENDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 343199) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 516056-1) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2018-06-27 |