NPI | 1174802821 |
---|---|
Former Name | MISTY D RIGGS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV 70619) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.12985-NP) |
Enumeration Date | 2011-08-12 |
Last Update Date | 2021-04-07 |