NPI | 1962672477 |
---|---|
Former Name | SOMMER RACHAEL ALLEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: AZ 006126) |
Additional Taxonomies | 208600000X Surgery (Licence: OH 58-002431) |
Enumeration Date | 2008-03-11 |
Last Update Date | 2021-04-08 |