NPI | 1679235535 |
---|---|
Former Name | RACHEL CARLTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704341489) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704341489) |
Enumeration Date | 2021-10-08 |
Last Update Date | 2025-04-21 |