NPI | 1144691676 |
---|---|
Former Name | RACHEL MARIE SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: WA 60509685) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NC 080844) |
Enumeration Date | 2015-10-09 |
Last Update Date | 2015-10-09 |