NPI | 1669240628 |
---|---|
Former Name | RACHEL ADAIR VASALY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5016012) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 5016012) |
Enumeration Date | 2023-12-19 |
Last Update Date | 2024-02-21 |