NPI | 1023601739 |
---|---|
Former Name | RACHEL PAIGE WOOD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 29040) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 29040) |
Enumeration Date | 2021-02-12 |
Last Update Date | 2021-04-29 |