NPI | 1427540137 |
---|---|
Former Name | RACHEL E DIAMOND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10002513A) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2018-05-30 |
Last Update Date | 2020-02-20 |