| NPI | 1124420963 |
|---|---|
| Former Name | RACHAEL MARIE CLARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP2201X Registered Nurse, Ambulatory Care (Licence: TX 834258) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 7944289-3102) |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2014-09-24 |