NPI | 1033112347 |
---|---|
Former Name | RACHEL ORMAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: OK 2524) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: TX PA03975) |
363AM0700X Physician Assistant, Medical (Licence: KS 15-01384) | |
363AM0700X Physician Assistant, Medical (Licence: MO 2012016494) | |
Enumeration Date | 2005-05-31 |
Last Update Date | 2015-12-03 |