| NPI | 1841637030 |
|---|---|
| Former Name | RACHEL MARIE GAMBULOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX Q6630) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP1-0045911) |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2021-05-12 |