NPI | 1366575284 |
---|---|
Former Name | ROSANNE S CRIDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ME CNP81800) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ME R022162) |
Enumeration Date | 2007-03-13 |
Last Update Date | 2014-04-14 |