NPI | 1124527601 |
---|---|
Former Name | ELIZABETH MARIE RILEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0004367-C-NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD r201516) |
Enumeration Date | 2018-02-09 |
Last Update Date | 2024-04-24 |