| NPI | 1356477426 |
|---|---|
| Former Name | RACHEL LYNETTE VICTORY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MS R875097) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN186314) |
| Enumeration Date | 2007-02-25 |
| Last Update Date | 2007-07-08 |