NPI | 1386169001 |
---|---|
Former Name | RACHEL RIFFE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2018000607) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 78059) |
Enumeration Date | 2017-08-03 |
Last Update Date | 2018-09-19 |