| NPI | 1306155700 |
|---|---|
| Former Name | RACHEL MARA LUBER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: AZ 4732) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: AZ 4732) |
| Enumeration Date | 2010-10-02 |
| Last Update Date | 2019-02-25 |