NPI | 1497798821 |
---|---|
Former Name | RACHEL HENDERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP3413652) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN231977) |
Enumeration Date | 2006-06-14 |
Last Update Date | 2014-10-02 |