| NPI | 1508966045 |
|---|---|
| Former Name | TERRI DENISE HENRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A69585) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 49649) |
| Enumeration Date | 2006-09-24 |
| Last Update Date | 2023-03-10 |