NPI | 1336752856 |
---|---|
Former Name | RACHEL NEWKIRK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209021223) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041418238) |
Enumeration Date | 2020-08-25 |
Last Update Date | 2022-09-22 |