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 |