| NPI | 1538494679 |
|---|---|
| Former Name | RACHEL WOODWORTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71005292A) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5004513) |
| Enumeration Date | 2009-10-07 |
| Last Update Date | 2017-01-19 |