| NPI | 1518263888 |
|---|---|
| Former Name | BOBBY NICOLE RILEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 903285) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 15437) |
| Enumeration Date | 2011-02-04 |
| Last Update Date | 2023-09-01 |