| NPI | 1366501454 | 
|---|---|
| Former Name | TRACY L RIGGS | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5001026)  | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5001026)  | 
| 363LF0000X Nurse Practitioner, Family (Licence: NC 0050-01026)  | |
| Enumeration Date | 2006-12-06 | 
| Last Update Date | 2021-08-09 |