| NPI | 1841340726 |
|---|---|
| Former Name | RACHEL MARIE PETERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 11068) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WI 4328-23) |
| 363A00000X Physician Assistant (Licence: MN 1678) | |
| 363A00000X Physician Assistant (Licence: WA PA10005119) | |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2022-06-27 |