NPI | 1487074886 |
---|---|
Former Name | RACHEL SUSAN GROSS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 15759) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 371101) |
Enumeration Date | 2014-04-24 |
Last Update Date | 2014-04-24 |