NPI | 1245658582 |
---|---|
Former Name | RACHAEL MINTZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: FL ME140605) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2014-04-03 |
Last Update Date | 2020-08-29 |