NPI | 1922096767 |
---|---|
Former Name | RACHEL LESLEY SENSEMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN CNP1533) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 208604-8) |
363LF0000X Nurse Practitioner, Family (Licence: VA 0024167030) | |
Enumeration Date | 2005-10-06 |
Last Update Date | 2018-11-28 |