NPI | 1376877662 |
---|---|
Former Name | RACHEL GLENNON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CT 12210) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CT 917) |
163W00000X Registered Nurse (Licence: CT 183740) | |
Enumeration Date | 2009-09-21 |
Last Update Date | 2023-08-25 |