NPI | 1083994347 |
---|---|
Former Name | CAROLYN RIDEAUX HORNE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: LA RN044627-AP06618) |
Enumeration Date | 2011-08-18 |
Last Update Date | 2011-08-18 |