NPI | 1326034778 |
---|---|
Former Name | KANDI FAULKS CUNNINGHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK 44356) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OK 44356) |
Enumeration Date | 2005-09-21 |
Last Update Date | 2024-10-14 |