| NPI | 1346848918 |
|---|---|
| Former Name | DEVON MARIE PONDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 107740) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK 107740) |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2020-10-15 |