NPI | 1396377222 |
---|---|
Former Name | RACHAEL ZUCCARELLI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1074401) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1074401) |
Enumeration Date | 2020-02-08 |
Last Update Date | 2024-02-14 |