NPI | 1750860367 |
---|---|
Former Name | CHRISTAL LOUISE RICE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL aprn11016039) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704263161) |
Enumeration Date | 2018-08-14 |
Last Update Date | 2024-05-15 |