| 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 |