NPI | 1720256266 |
---|---|
Former Name | KELLEY VIRGINIA FARR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OK 87451) |
Additional Taxonomies | 364SW0102X Clinical Nurse Specialist, Women's Health (Licence: OK 87451) |
Enumeration Date | 2008-02-19 |
Last Update Date | 2013-12-30 |