NPI | 1871796722 |
---|---|
Former Name | LAWANDA FAY KING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: OK 363LN005X) |
Enumeration Date | 2007-06-07 |
Last Update Date | 2018-02-28 |