| NPI | 1285260786 |
|---|---|
| Former Name | RACHEL MCKENNA BLANSETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MD AC004335) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: GA RN265267) |
| Enumeration Date | 2020-03-16 |
| Last Update Date | 2022-07-19 |