NPI | 1386906733 |
---|---|
Former Name | JULIE NICOLE RYGG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SD CP001423) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ND R34697) |
363LF0000X Nurse Practitioner, Family (Licence: MN CNP1297) | |
363LP2300X Nurse Practitioner, Primary Care (Licence: MN CNP1297) | |
Enumeration Date | 2012-06-12 |
Last Update Date | 2018-09-18 |