| NPI | 1730758400 |
|---|---|
| Former Name | RACHEL ELIZABETH BODE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 13066-33) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: WI 223659) |
| 163WP0200X Registered Nurse, Pediatrics (Licence: WI 223659) | |
| Enumeration Date | 2021-06-17 |
| Last Update Date | 2022-08-11 |