NPI | 1396225462 |
---|---|
Former Name | RACHEL REBEKAH MASTERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-144490) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-144490) |
163W00000X Registered Nurse (Licence: FL RN9480788) | |
Enumeration Date | 2018-08-18 |
Last Update Date | 2018-09-28 |