NPI | 1750669453 |
---|---|
Former Name | RACHEL KOMARINSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA054894) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA OA002683) |
Enumeration Date | 2011-07-28 |
Last Update Date | 2015-08-06 |