NPI | 1578035705 |
---|---|
Former Name | BILLIE LEANN HENDRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO CO0184010) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 0184010) |
Enumeration Date | 2018-12-28 |
Last Update Date | 2023-08-03 |