NPI | 1871024711 |
---|---|
Former Name | RACHEL M PADDOCK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2017003584) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-77600-082) |
Enumeration Date | 2017-03-22 |
Last Update Date | 2025-06-03 |