NPI | 1881905156 |
---|---|
Former Name | RACHEL PAZ LEIGH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101253879) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 164866) |
Enumeration Date | 2010-07-01 |
Last Update Date | 2021-12-07 |