Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | RN1027192 | DC |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | TBD | DC |
NPI | 1508463910 |
---|---|
Provider Name | Liane Okada |
First Address | Washington, DC 20010-2664 |
Second Address | Washington, DC 20010-3017 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/10/2020 |
Last Update Date | 08/10/2020 |