| NPI | 1689166191 |
|---|---|
| Former Name | RACHEL WETHERALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 7126) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2024-04-02 |