NPI | 1235517244 |
---|---|
Former Name | RITA NEELEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AZ 240170) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP 60502642) |
Enumeration Date | 2015-05-11 |
Last Update Date | 2021-10-05 |