NPI | 1609239292 |
---|---|
Former Name | RACHAEL L SCIPLIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME135671) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2016-03-31 |
Last Update Date | 2019-09-17 |