| NPI | 1164960696 |
|---|---|
| Former Name | RHONDA LYNN O'MALLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11009309) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0003983-C-NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 53-77638-081) | |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2023-04-24 |