NPI | 1871088625 |
---|---|
Former Name | RITA M RADER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: TN 24228) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 24228) |
Enumeration Date | 2018-06-25 |
Last Update Date | 2020-05-02 |