NPI | 1417283987 |
---|---|
Former Name | RAE DANIELLE PALEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TN APN14360) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 14360) |
Enumeration Date | 2009-10-19 |
Last Update Date | 2022-02-09 |