NPI | 1740439900 |
---|---|
Former Name | RACHEL ANNE REID |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 338289) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024167999) |
Enumeration Date | 2008-09-12 |
Last Update Date | 2015-10-12 |