NPI | 1750860367 |
---|---|
Former Name | CHRISTAL LOUISE RICE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11016039) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704263161) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704263161) | |
363LF0000X Nurse Practitioner, Family (Licence: FL aprn11016039) | |
Enumeration Date | 2018-08-14 |
Last Update Date | 2025-04-30 |