NPI | 1508149345 |
---|---|
Former Name | RACHEL GLORIA LAT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP2201X Registered Nurse, Ambulatory Care (Licence: TX 684306) |
Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: CA 536295) |
Enumeration Date | 2011-09-27 |
Last Update Date | 2011-09-27 |