NPI | 1841675352 |
---|---|
Former Name | MARY RACHEL COLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5017711) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000019990) |
Enumeration Date | 2015-07-26 |
Last Update Date | 2023-05-11 |