NPI | 1710347893 |
---|---|
Former Name | RACHAEL WHITNEY MARKS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2016005846) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209014435) |
363LF0000X Nurse Practitioner, Family (Licence: IL 209.014435) | |
363LF0000X Nurse Practitioner, Family (Licence: MO 2016005846) | |
Enumeration Date | 2016-03-02 |
Last Update Date | 2020-10-30 |