| NPI | 1720962723 |
|---|---|
| Former Name | FAITH MARIE HENDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OK 225003) |
| Enumeration Date | 2025-08-04 |
| Last Update Date | 2025-08-04 |