| 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 |