| NPI | 1346625043 |
|---|---|
| Former Name | RACHEAL JAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA APRN-NP219822) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN219822) |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2025-10-29 |