NPI | 1417469958 |
---|---|
Former Name | REBECCA C RAGAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 23344) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 198508) |
Enumeration Date | 2017-10-24 |
Last Update Date | 2023-08-11 |