NPI | 1689041451 |
---|---|
Former Name | CHRISTINE MARIE RAKOWSKY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71005710A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28225101A) |
Enumeration Date | 2015-08-28 |
Last Update Date | 2016-06-20 |