NPI | 1245789718 |
---|---|
Former Name | RACHEL COKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2016035598) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-77377) |
Enumeration Date | 2016-09-26 |
Last Update Date | 2024-08-22 |