| NPI | 1558969568 |
|---|---|
| Former Name | RACHELLE SCHMUDE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 5103-023) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2021-11-29 |