NPI | 1427527795 |
---|---|
Former Name | REBECCA L RATLIFF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2019002643) |
Enumeration Date | 2018-11-16 |
Last Update Date | 2020-12-01 |