NPI | 1821698598 |
---|---|
Former Name | RUTH A FOSTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: SD CP001875) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: SD CP001875) |
Enumeration Date | 2020-10-30 |
Last Update Date | 2021-03-01 |