NPI | 1124357637 |
---|---|
Former Name | RACHEL GITTLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA057955) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA057955) |
363AM0700X Physician Assistant, Medical (Licence: AZ 4473) | |
Enumeration Date | 2009-12-11 |
Last Update Date | 2023-09-14 |