NPI | 1558762237 |
---|---|
Former Name | RACHEL KAY SAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209011534) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: IL 209.011534) |
Enumeration Date | 2014-09-12 |
Last Update Date | 2022-02-25 |