| NPI | 1063977957 |
|---|---|
| Former Name | RACHEL NICOLE DEPRATTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 6417) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 9808-33) |
| Enumeration Date | 2019-02-05 |
| Last Update Date | 2020-07-28 |