| NPI | 1811071756 |
|---|---|
| Former Name | SONJA LYNN HENDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: GA RN148590 NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN148590) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-10-16 |