NPI | 1699911842 |
---|---|
Former Name | SHANDALLA RIGBY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.028935) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: IL 198.001503) |
225700000X Massage Therapist (Licence: WA MA0022061) | |
Enumeration Date | 2008-12-17 |
Last Update Date | 2024-05-23 |