| NPI | 1841064615 |
|---|---|
| Former Name | KARA RACHELLE HODGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 36807) |
| Additional Taxonomies | 163WN0800X Registered Nurse, Neuroscience (Licence: TN 227963) |
| Enumeration Date | 2023-11-13 |
| Last Update Date | 2024-08-06 |