NPI | 1497274872 |
---|---|
Former Name | RACHEL SQUICCIARINI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95007462) |
Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: CA 784138) |
Enumeration Date | 2017-09-16 |
Last Update Date | 2020-09-02 |