| NPI | 1891412607 |
|---|---|
| Former Name | RACHEL WOOD STANFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-12454) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2022-10-24 |
| Last Update Date | 2023-03-09 |