NPI | 1720606601 |
---|---|
Former Name | RACHEL ALLISON O'KEEFE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 10011) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: GA 10011) |
Enumeration Date | 2020-07-08 |
Last Update Date | 2023-07-20 |