NPI | 1598357857 |
---|---|
Former Name | LINDSEY V BOREN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 204257) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK RN0090016) |
Enumeration Date | 2021-02-08 |
Last Update Date | 2021-08-06 |