NPI | 1316590714 |
---|---|
Former Name | BRENDA KAY BAINTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OK 109700) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: OK 109700) |
Enumeration Date | 2019-07-24 |
Last Update Date | 2022-09-28 |