NPI | 1437768272 |
---|---|
Former Name | ELAINE RIGDON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MS 904039) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MS 904039) |
Enumeration Date | 2020-07-28 |
Last Update Date | 2025-10-05 |