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 |