NPI | 1659996049 |
---|---|
Former Name | RACHEL ELIZABETH MARKOVICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 162873) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK 162607) |
163W00000X Registered Nurse (Licence: VA 0001270297) | |
363LF0000X Nurse Practitioner, Family (Licence: VA 0024179474) | |
Enumeration Date | 2020-06-10 |
Last Update Date | 2022-03-08 |