NPI | 1043653975 |
---|---|
Former Name | RACHEL M. CHANGO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA OA005133) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA052486) |
Enumeration Date | 2013-04-10 |
Last Update Date | 2020-06-10 |