| NPI | 1417208091 |
|---|---|
| Former Name | RYAN NICOLE LAW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 17944) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 17944) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 17944) | |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2024-07-27 |