| NPI | 1699121053 |
|---|---|
| Former Name | RACHEL GAYLE LAREAU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2017-02370) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2020-10-26 |