| NPI | 1104220086 |
|---|---|
| Former Name | KELSEY RIGGS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71005216A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 28189740A) |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2022-03-18 |