NPI | 1285160176 |
---|---|
Former Name | RACHAEL LEIGH PETRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 61150) |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TN 61150) |
2251G0304X Physical Therapist, Geriatrics | |
Enumeration Date | 2017-05-11 |
Last Update Date | 2024-11-20 |