NPI | 1295038586 |
---|---|
Former Name | JENNIFER LUCILLE RICE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704254436) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704254436) |
Enumeration Date | 2010-12-08 |
Last Update Date | 2016-06-02 |