| NPI | 1003127465 |
|---|---|
| Former Name | RACHAEL E. MAHONEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 61517-21) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OT013624) |
| 207Q00000X Family Medicine (Licence: PA OS015861) | |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2014-03-06 |