NPI | 1447806856 |
---|---|
Former Name | RACHEL HIGGINBOTHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AR 121874) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AR 121874) |
363LA2200X Nurse Practitioner, Adult Health (Licence: AR 121874) | |
Enumeration Date | 2019-08-12 |
Last Update Date | 2021-09-08 |