NPI | 1104417286 |
---|---|
Former Name | RHONDA CASPER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 207761) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP231616) |
363LF0000X Nurse Practitioner, Family (Licence: NM 76647) | |
363LF0000X Nurse Practitioner, Family (Licence: IA A177059) | |
363LF0000X Nurse Practitioner, Family (Licence: WY 53371) | |
363LF0000X Nurse Practitioner, Family (Licence: TX 1028991) | |
Enumeration Date | 2021-02-01 |
Last Update Date | 2024-06-20 |