NPI | 1184291767 |
---|---|
Former Name | KELLEY HOOD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK 202627) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK R0117418) |
Enumeration Date | 2021-06-10 |
Last Update Date | 2024-07-24 |