| 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 |