| NPI | 1083027718 |
|---|---|
| Former Name | RACHEL SUZANNE CHRISTMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WA DE 60557223) |
| Additional Taxonomies | 1223D0001X Dentist, Dental Public Health (Licence: WA DE 60557223) |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2015-11-05 |