NPI | 1700391612 |
---|---|
Former Name | RHONDA RAEYAUNNA ANDREASSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201709504NP-PP) |
Enumeration Date | 2017-12-14 |
Last Update Date | 2018-06-16 |