NPI | 1033562954 |
---|---|
Former Name | EMILEE N RIKARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: SC 20444) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 20444) |
363LX0106X Nurse Practitioner, Occupational Health (Licence: SC 20444) | |
Enumeration Date | 2016-07-15 |
Last Update Date | 2021-08-25 |