NPI | 1982044210 |
---|---|
Former Name | SHEENA L HENDERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9442683) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 761182) |
Enumeration Date | 2013-07-01 |
Last Update Date | 2020-08-03 |