| NPI | 1700074366 |
|---|---|
| Former Name | RACHEL NICOLE KOTRBA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-07814) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WI 2205-023) |
| 363AS0400X Physician Assistant, Surgical (Licence: TX PA07301) | |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2018-03-19 |