NPI | 1043651540 |
---|---|
Former Name | RACHEL SARA CARNEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: AZ 5399) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: AZ 5399) |
Enumeration Date | 2013-07-12 |
Last Update Date | 2020-07-28 |