| NPI | 1821412701 |
|---|---|
| Former Name | RACHEL A DZIALO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2015031260) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 77172) |
| 363L00000X Nurse Practitioner (Licence: TN 180465) | |
| Enumeration Date | 2014-02-12 |
| Last Update Date | 2018-06-05 |