| NPI | 1720721392 |
|---|---|
| Former Name | DESIRAE DAWN RATHBONE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 10002748) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ 273896) |
| Enumeration Date | 2022-04-20 |
| Last Update Date | 2023-02-10 |