NPI | 1932499548 |
---|---|
Former Name | AMY L RAGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71003617A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28169503A) |
363L00000X Nurse Practitioner (Licence: IN 71003617A) | |
Enumeration Date | 2011-04-15 |
Last Update Date | 2021-02-13 |