| NPI | 1487982526 |
|---|---|
| Former Name | RACHEL JEAN VAYNTRUB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 19851) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 727439) |
| Enumeration Date | 2009-12-01 |
| Last Update Date | 2015-07-01 |