NPI | 1609185362 |
---|---|
Former Name | RIKKA M KNOLL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA 114305) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA H114305) |
Enumeration Date | 2010-09-29 |
Last Update Date | 2015-07-15 |