NPI | 1124687462 |
---|---|
Former Name | RACHAEL LEA SPEARS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95023582) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95180773) |
163W00000X Registered Nurse (Licence: KS 14-127624-062) | |
163W00000X Registered Nurse (Licence: MO 2013036996) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2019017374) | |
Enumeration Date | 2019-06-11 |
Last Update Date | 2024-08-23 |