NPI | 1497153639 |
---|---|
Former Name | RACHEL FOWLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 19447) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 019447) |
363LP2300X Nurse Practitioner, Primary Care (Licence: TN 19447) | |
Enumeration Date | 2014-12-19 |
Last Update Date | 2022-03-25 |