NPI | 1205509718 |
---|---|
Former Name | RACHEL POLSKY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 261615) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN215866) |
Enumeration Date | 2021-07-29 |
Last Update Date | 2021-07-29 |