NPI | 1104219443 |
---|---|
Former Name | RACHEL HUMMER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MT 127715) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA057496) |
Enumeration Date | 2015-03-11 |
Last Update Date | 2025-04-09 |