NPI | 1780245035 |
---|---|
Former Name | RACHEL BOTT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0994733-NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.0186741) |
286500000X Military Hospital (Licence: CO APN.0994733-NP) | |
Enumeration Date | 2019-06-27 |
Last Update Date | 2024-04-12 |