| NPI | 1477725687 |
|---|---|
| Former Name | RACQUEL EARLES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3005461) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 5461P) |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2015-08-07 |