| NPI | 1215336664 |
|---|---|
| Former Name | RACHEL MARIE DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN CNP4361) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 6115-33) |
| 363LF0000X Nurse Practitioner, Family (Licence: MN R198102-1) | |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2021-01-19 |