| NPI | 1952960387 |
|---|---|
| Former Name | RACHEL EDGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 202103255NP-PP) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3013433) |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2021-11-09 |