NPI | 1033586599 |
---|---|
Former Name | KIMBERLY R RYDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71005815A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 28156992A) |
Enumeration Date | 2015-08-31 |
Last Update Date | 2016-11-02 |