NPI | 1225607112 |
---|---|
Former Name | RACHEL GULA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA64889) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NM PA2021-0106) |
363AS0400X Physician Assistant, Surgical (Licence: NM PA2021-0106) | |
Enumeration Date | 2021-06-23 |
Last Update Date | 2025-01-10 |