NPI | 1144819764 |
---|---|
Former Name | RACHEL M SHEPHERD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 71011014A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28215357A) |
Enumeration Date | 2021-01-18 |
Last Update Date | 2024-04-16 |