| NPI | 1942758982 |
|---|---|
| Former Name | RAYNA WIED |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 14611) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA10718) |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2023-12-20 |