NPI | 1104420751 |
---|---|
Former Name | SHEILA LYNN RIFFE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.024863) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95015882) |
Enumeration Date | 2020-11-24 |
Last Update Date | 2023-11-14 |