NPI | 1558677898 |
---|---|
Former Name | RACHEL LOUISE BULLOCK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 146D00000X Personal Emergency Response Attendant (Licence: KY PA1578) |
Enumeration Date | 2010-08-24 |
Last Update Date | 2014-11-12 |