NPI | 1144943788 |
---|---|
Former Name | RACHEL COLETTE GOLD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9118494) |
Additional Taxonomies | 363A00000X Physician Assistant |
363A00000X Physician Assistant (Licence: CA 61970) | |
363A00000X Physician Assistant (Licence: TX PA16196) | |
Enumeration Date | 2022-09-20 |
Last Update Date | 2025-03-13 |