NPI | 1043599210 |
---|---|
Former Name | RACHEL A HANSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA EMT.ES.600024559) |
Enumeration Date | 2011-08-05 |
Last Update Date | 2016-10-11 |