NPI | 1013249077 |
---|---|
Former Name | RACHEL SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX PA06588) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA06588) |
Enumeration Date | 2010-02-02 |
Last Update Date | 2023-03-28 |