NPI | 1689945511 |
---|---|
Former Name | RACHEL WELCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: ME 296) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2012-01-24 |
Last Update Date | 2020-03-24 |