| NPI | 1023402450 |
|---|---|
| Former Name | REBECCA LYNN HARNISH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NH 18990) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 57.027082) |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2019-09-24 |