NPI | 1992129183 |
---|---|
Former Name | RACHEL E LAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10001769) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IN 10001769A) |
Enumeration Date | 2014-02-10 |
Last Update Date | 2025-07-24 |