NPI | 1619506870 |
---|---|
Former Name | RACHELLE ROBERTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: UT 13621053-1205) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2020-04-08 |
Last Update Date | 2024-05-28 |