| NPI | 1487942736 |
|---|---|
| Former Name | RACHEL ELLEN BEVERIDGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: TX T2191) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 267637) |
| 2086X0206X Surgery, Surgical Oncology (Licence: OH 34.014960) | |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2022-10-07 |