NPI | 1265096663 |
---|---|
Former Name | RACHEL ELIZABETH HOUGH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: ME PA2080) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2019-05-01 |
Last Update Date | 2023-05-31 |