NPI | 1063137370 |
---|---|
Former Name | ABIGAYLE RICKMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 32822) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 237853) |
Enumeration Date | 2022-10-10 |
Last Update Date | 2024-10-31 |