NPI | 1750687158 |
---|---|
Former Name | EMILY LOUISE RIEDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95001696) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: CA 95024667) |
Enumeration Date | 2011-02-01 |
Last Update Date | 2020-08-11 |