| NPI | 1710765284 |
|---|---|
| Former Name | RACHEL JORDAN CAIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN258590) |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care (Licence: GA 258590) |
| Enumeration Date | 2023-09-18 |
| Last Update Date | 2023-12-11 |