NPI | 1083950935 |
---|---|
Former Name | CORY JO RICE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 22246) |
Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: SC 105809) |
363L00000X Nurse Practitioner (Licence: SC 22246) | |
Enumeration Date | 2012-12-21 |
Last Update Date | 2023-01-19 |