NPI | 1396248795 |
---|---|
Former Name | ADRIANNE ELAINE RASCHE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 23936) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3017718) |
Enumeration Date | 2018-03-12 |
Last Update Date | 2022-05-11 |