NPI | 1235648437 |
---|---|
Former Name | RACHEL ANN LOONEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 3-001754) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN APN0000022604) |
Enumeration Date | 2017-09-20 |
Last Update Date | 2024-10-04 |