NPI | 1972917649 |
---|---|
Former Name | JOYCE HENDRICKS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9296847) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9296847) |
Enumeration Date | 2014-06-20 |
Last Update Date | 2022-10-28 |