| NPI | 1194129643 |
|---|---|
| Former Name | RACHEL MICHELLE KUEGLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: SC 2555) |
| 207X00000X Orthopaedic Surgery (Licence: SC 2555) | |
| 207Y00000X Otolaryngology (Licence: SC 2555) | |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2020-10-26 |