NPI | 1396037016 |
---|---|
Former Name | RACHEL MUELLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WA PA60629818) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: GA 006099) |
363AS0400X Physician Assistant, Surgical (Licence: CA PA22404) | |
Enumeration Date | 2011-05-13 |
Last Update Date | 2016-04-12 |