| NPI | 1710417498 |
|---|---|
| Former Name | RACHEL ALLYN FENTERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 34.016466) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC LL51236) |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2026-04-14 |