NPI | 1629409362 |
---|---|
Former Name | NATASCHA R RICE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209010921) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2013035192) |
Enumeration Date | 2013-12-05 |
Last Update Date | 2021-08-25 |