NPI | 1679018295 |
---|---|
Former Name | RACHEL ANGELICA CLINE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101265334) |
Additional Taxonomies | 171000000X Military Health Care Provider (Licence: VA 0101265334) |
2083A0100X Preventive Medicine, Aerospace Medicine (Licence: VA 0101265334) | |
Enumeration Date | 2017-01-05 |
Last Update Date | 2023-12-06 |