| NPI | 1740924836 |
|---|---|
| Former Name | RAQUEL CASSANDRA REID |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP025267) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0011877) |
| Enumeration Date | 2022-04-25 |
| Last Update Date | 2022-04-29 |