NPI | 1407421688 |
---|---|
Former Name | RACHEL ELAINE HAYES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: KY PA2860) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: KY PA2860) |
363AS0400X Physician Assistant, Surgical (Licence: KY PA2860) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2021-05-20 |
Last Update Date | 2024-03-29 |