NPI | 1841774627 |
---|---|
Former Name | KERRY KATHLEEN RIGSBEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71008348A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28194850A) |
Enumeration Date | 2018-09-18 |
Last Update Date | 2020-12-15 |