NPI | 1134403751 |
---|---|
Former Name | RACHEL LEIGHANNE BELEW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 7906) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC L003763) |
133V00000X Dietitian, Registered (Licence: GA LD002801) | |
Enumeration Date | 2011-09-30 |
Last Update Date | 2016-02-16 |