NPI | 1407086614 |
---|---|
Former Name | RACHEL MACGILLIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 004185) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 004185) |
Enumeration Date | 2009-07-22 |
Last Update Date | 2013-03-04 |