| NPI | 1679887111 |
|---|---|
| Former Name | RACHEAL MARIE PEAVIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 8964) |
| Additional Taxonomies | 122300000X Dentist (Licence: OH 30-023279) |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2018-09-06 |