| NPI | 1699118018 |
|---|---|
| Former Name | RACHEL BETHANY WALLACE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D84102) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2018-12-27 |