NPI | 1396249348 |
---|---|
Other Name | SANDRA ELAINE CRAIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: OK 67434) |
Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: OK 67434) |
363LX0106X Nurse Practitioner Occupational Health (Licence: TX AP136171) | |
Enumeration Date | 2018-03-22 |
Last Update Date | 2019-06-05 |