| NPI | 1700550167 |
|---|---|
| Former Name | KREYL J HENDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71011417A) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 71011417A) |
| Enumeration Date | 2021-08-09 |
| Last Update Date | 2021-12-22 |