NPI | 1104348358 |
---|---|
Former Name | RACHEL ELIZABETH MCINTYRE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3011440) |
Enumeration Date | 2017-07-10 |
Last Update Date | 2018-10-25 |