NPI | 1174657746 |
---|---|
Former Name | RACHEL L. LUTY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 3064) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 3064) |
Enumeration Date | 2007-03-15 |
Last Update Date | 2024-02-01 |