| NPI | 1558898502 |
|---|---|
| Former Name | COURTNEY HENEGAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: HI APRN-2274) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI 63309) |
| Enumeration Date | 2017-05-20 |
| Last Update Date | 2017-05-20 |