NPI | 1346519949 |
---|---|
Former Name | BERNADETTE ANN RABY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 10274) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-03269) |
Enumeration Date | 2011-12-28 |
Last Update Date | 2023-05-30 |