NPI | 1861092546 |
---|---|
Other Name | AYSHEA JANAE HENRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-133451) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-133451) |
Enumeration Date | 2020-10-30 |
Last Update Date | 2024-11-12 |