| NPI | 1356806582 |
|---|---|
| Former Name | ABIGAIL LAUREN OAKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209020595) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2019003291) |
| Enumeration Date | 2019-02-01 |
| Last Update Date | 2021-02-09 |