NPI | 1366853186 |
---|---|
Former Name | MERCEDES L RICE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD R224496) |
Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: MD R224496) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: GA RN198323) | |
Enumeration Date | 2014-05-14 |
Last Update Date | 2020-12-28 |