NPI | 1477208007 |
---|---|
Former Name | RACHEL LUSSIER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: RI APRN03623) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI RN54314) |
Enumeration Date | 2022-02-11 |
Last Update Date | 2023-06-22 |