NPI | 1609315092 |
---|---|
Former Name | RACHEL COURTNEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: IN 02005963A) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2017-02-17 |
Last Update Date | 2022-07-11 |