| NPI | 1386499911 |
|---|---|
| Former Name | RACHEL MARIE GORDON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 80357) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 34357) |
| Enumeration Date | 2024-04-18 |
| Last Update Date | 2025-07-29 |