| NPI | 1114783917 |
|---|---|
| Former Name | RACHEL ALAINE GREEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA17920) |
| Enumeration Date | 2024-02-28 |
| Last Update Date | 2024-07-19 |