| NPI | 1992090724 |
|---|---|
| Former Name | CONSTANCE LARA GUNDA HENDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA NP95025729) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201706245NP-PP) |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2025-02-24 |