| 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 |