NPI | 1447740642 |
---|---|
Former Name | RACHEL S DURHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NE 112519) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: KS 53-78190) |
Enumeration Date | 2018-05-14 |
Last Update Date | 2022-11-04 |