NPI | 1538614128 |
---|---|
Former Name | MONICA WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK 71763) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 71763) |
Enumeration Date | 2016-08-24 |
Last Update Date | 2019-03-05 |