NPI | 1154987550 |
---|---|
Former Name | BAILEY RAINE KEMP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 029960) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2019-05-13 |
Last Update Date | 2024-06-05 |