| NPI | 1033629050 |
|---|---|
| Former Name | REBECCA LYNN BREWER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110-005956) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110005956) |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2021-03-10 |