| 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 |