NPI | 1215926068 |
---|---|
Former Name | RACHEL SUSANNE BAIRD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN 14618) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP 2062) |
363LF0000X Nurse Practitioner, Family (Licence: ND R41010) | |
Enumeration Date | 2005-10-14 |
Last Update Date | 2023-03-07 |