NPI | 1063974020 |
---|---|
Former Name | RACHEL ELAINE SHARP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CT 073739) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: LA 332873) |
Enumeration Date | 2019-04-01 |
Last Update Date | 2024-05-22 |