Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | 16247 | TN |
NPI | 1013293380 |
---|---|
Provider Name | Miss Rachel Beth Kaplan |
First Address | Brewster, NY 10509-0452 |
Second Address | New York, NY 10021-4872 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/10/2011 |
Last Update Date | 20/11/2012 |