NPI | 1619213899 |
---|---|
Former Name | CHRISTINA DODSON RILEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: LA RN123094AP07551) |
Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: TN 17182) |
Enumeration Date | 2012-12-17 |
Last Update Date | 2020-04-23 |