NPI | 1811636830 |
---|---|
Former Name | FRANKIE PERSHALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 208146) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK R08318) |
Enumeration Date | 2022-05-27 |
Last Update Date | 2022-06-17 |