NPI | 1619446754 |
---|---|
Former Name | RACHEL ELLIS RAGLAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AL PA.1403) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: AL PA.1403) |
Enumeration Date | 2018-11-19 |
Last Update Date | 2023-05-18 |