| NPI | 1689022139 |
|---|---|
| Former Name | JANIS LYDICK RICKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: KY 3018761) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA AP08749) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3018761) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: LA AP08749) | |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2024-09-23 |