| NPI | 1982826780 |
|---|---|
| Former Name | CAROL JEAN RATH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 004640) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 004640) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2011-07-12 |