NPI | 1205358785 |
---|---|
Former Name | RACHEL LYNN CAISSIE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 19947) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NV 19947) |
207Q00000X Family Medicine (Licence: ND 14658) | |
Enumeration Date | 2017-07-17 |
Last Update Date | 2023-03-07 |