| NPI | 1417478504 |
|---|---|
| Former Name | RACHEL MICHELLE BRADFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110005812) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: VA 0110-005812) |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2022-04-28 |