NPI | 1447500210 |
---|---|
Other Name | RACHEL DEVINE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: ID PA-1347) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA PA22547) |
Enumeration Date | 2012-09-19 |
Last Update Date | 2016-03-31 |