| NPI | 1629702998 |
|---|---|
| Former Name | RACHEL PAYNE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 5777) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085.008995) |
| Enumeration Date | 2022-07-13 |
| Last Update Date | 2024-04-22 |