| NPI | 1306558853 |
|---|---|
| Other Name | RACHEL JANE WALLACE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 10018) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN F12220117) |
| Enumeration Date | 2022-12-15 |
| Last Update Date | 2023-05-26 |