NPI | 1326630377 |
---|---|
Former Name | RACHELLE MCCAULEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5014571) |
Additional Taxonomies | 163WG0100X Registered Nurse, Gastroenterology (Licence: NC 288541) |
Enumeration Date | 2021-02-10 |
Last Update Date | 2023-11-13 |