NPI | 1811258114 |
---|---|
Former Name | RACHEL CARTIER MAUPIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2015026164) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX P8505) |
207Q00000X Family Medicine (Licence: KS 05-38365) | |
Enumeration Date | 2012-06-04 |
Last Update Date | 2015-11-23 |