| NPI | 1740916295 |
|---|---|
| Former Name | RACHEL LAPORTA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 310802) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NY 688536) |
| Enumeration Date | 2022-07-27 |
| Last Update Date | 2022-08-03 |