| NPI | 1386198919 |
|---|---|
| Former Name | RACHAEL LAUREN TATE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60698119) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-132633) |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 1-132633) | |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2023-06-29 |