| NPI | 1770068850 |
|---|---|
| Former Name | RACHEL MAY LARUE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A005918) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2018034610) |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2018-09-25 |