| NPI | 1831405521 |
|---|---|
| Former Name | RASHONDA R DERICHO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP9194078) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9194078) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9194078) | |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2023-02-02 |