NPI | 1912596610 |
---|---|
Former Name | RACHEL LAUREN PFEIFFER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA17123) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL 9117525) |
Enumeration Date | 2021-01-16 |
Last Update Date | 2025-09-16 |