| NPI | 1841447877 |
|---|---|
| Other Name | GEORGIA D SANDVIK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK R 0096144) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 96144) |
| 363L00000X Nurse Practitioner (Licence: IA A-112062) | |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2012-05-16 |