NPI | 1235829540 |
---|---|
Former Name | RACHEL MICHELLE FRIEND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 27563) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 250557) |
Enumeration Date | 2023-05-10 |
Last Update Date | 2025-03-11 |