NPI | 1487637658 |
---|---|
Former Name | JUNE MARIE RICKABY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 1296-33) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 52609-030) |
363LW0102X Nurse Practitioner, Women's Health (Licence: WI 1296-33) | |
363LW0102X Nurse Practitioner, Women's Health (Licence: WI 52609-030) | |
Enumeration Date | 2005-11-22 |
Last Update Date | 2017-11-20 |