NPI | 1841785243 |
---|---|
Former Name | RACHEL ANN COOLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-08180) |
Additional Taxonomies | 208600000X Surgery (Licence: NC 0010-08180) |
2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: NC 236954) | |
Enumeration Date | 2018-06-27 |
Last Update Date | 2025-01-27 |