| NPI | 1922082148 |
|---|---|
| Former Name | RACHEL E RUDD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL 9104539) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: RI PA00273) |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2011-08-10 |