NPI | 1457687758 |
---|---|
Former Name | RHONDA R. LONG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9411463) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9411463) |
Enumeration Date | 2009-10-22 |
Last Update Date | 2021-01-27 |