| NPI | 1609267434 |
|---|---|
| Former Name | KARI LANE HENDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 104369) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: OK 104369) |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2017-04-24 |