NPI | 1275181265 |
---|---|
Former Name | RACHEL MICHELE BAUTSCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9112472) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
Enumeration Date | 2019-09-03 |
Last Update Date | 2024-06-11 |