NPI | 1619423472 |
---|---|
Other Name | FAITH MELINDA PANGBURN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OK 105704) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: OK 105704) |
Enumeration Date | 2016-08-31 |
Last Update Date | 2023-10-26 |