| 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 |