NPI | 1285340679 |
---|---|
Former Name | RACHEL A. PROSKOVEC (MAIDEN NAME) |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NE 114603) |
Enumeration Date | 2023-01-30 |
Last Update Date | 2023-01-30 |