NPI | 1255658647 |
---|---|
Former Name | RACHEL CAROLINE WELLS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: 1130779) |
Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: TX B1967816) |
Enumeration Date | 2010-04-26 |
Last Update Date | 2018-06-19 |