| NPI | 1194595801 |
|---|---|
| Former Name | RAQUEL HUMPHREY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2390456) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 353013) |
| Enumeration Date | 2024-01-03 |
| Last Update Date | 2026-05-06 |