NPI | 1013660117 |
---|---|
Former Name | RACHEL ANN MYERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71013728A) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 25677) |
Enumeration Date | 2022-01-28 |
Last Update Date | 2023-04-06 |