NPI | 1124765714 |
---|---|
Former Name | SELINA LOUISE RIBNICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: TN 31660) |
Enumeration Date | 2022-05-16 |
Last Update Date | 2024-02-07 |