NPI | 1750830543 |
---|---|
Former Name | RACHEL SOLOMON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA058502) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA058502) |
363AS0400X Physician Assistant, Surgical | |
Enumeration Date | 2016-09-22 |
Last Update Date | 2022-06-07 |