| NPI | 1174755763 |
|---|---|
| Former Name | RACHELLE CONCEPCION |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA60123) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 015764) |
| Enumeration Date | 2009-08-14 |
| Last Update Date | 2022-11-28 |