NPI | 1083028047 |
---|---|
Former Name | RACHEL O'HARE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60654406) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: ID PA1393) |
Enumeration Date | 2014-06-18 |
Last Update Date | 2016-08-23 |