| NPI | 1932829637 |
|---|---|
| Former Name | RACHEL KANG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024187810) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001283340) |
| Enumeration Date | 2022-09-01 |
| Last Update Date | 2023-11-14 |