NPI | 1124439872 |
---|---|
Former Name | RACHEL KIM BAISCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: WA PO60720228) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: WI 1090) |
Enumeration Date | 2014-05-15 |
Last Update Date | 2022-07-21 |