NPI | 1548463870 |
---|---|
Former Name | DOROTHY RENEE HENRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 202C00000X Independent Medical Examiner (Licence: NC 005002805) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5002805) |
Enumeration Date | 2007-06-06 |
Last Update Date | 2009-09-23 |