| NPI | 1396069969 |
|---|---|
| Former Name | RACHEL LEIGH-ANN TUCKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX P6835) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2010-03-25 |
| Last Update Date | 2013-06-28 |