| NPI | 1649735259 |
|---|---|
| Former Name | RACHEL SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 9019) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 9019-33) |
| Enumeration Date | 2019-02-07 |
| Last Update Date | 2021-07-23 |