| NPI | 1508571977 |
|---|---|
| Former Name | RACHEL PETERSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CO PA.0007724) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO PA.0007724) |
| Enumeration Date | 2023-01-19 |
| Last Update Date | 2024-03-21 |