| NPI | 1508868811 |
|---|---|
| Former Name | DANA HENDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP113045) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 571225) |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2018-09-18 |