| NPI | 1336559749 |
|---|---|
| Former Name | RACHAEL MICHELLE THOMAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX PA09562) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IL 085004933) |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2016-05-02 |