| NPI | 1972136968 |
|---|---|
| Former Name | MICHELLE LYNN HENAGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP145150) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP145150) |
| Enumeration Date | 2020-02-18 |
| Last Update Date | 2022-11-18 |