NPI | 1225270705 |
---|---|
Former Name | ANNA NICOLE QUINN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 77066) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK R00770066) |
Enumeration Date | 2009-03-31 |
Last Update Date | 2021-08-23 |