Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist |
NPI | 1306952148 |
---|---|
Provider Name | Dr. Nancy Jane Hammond |
First Address | Tulsa, OK 74136-7823 |
Second Address | Tulsa, OK 74136-7823 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/08/2006 |
Last Update Date | 08/07/2007 |