| NPI | 1043690175 |
|---|---|
| Former Name | REBEKAH TYLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ID 54388) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: ID 54388) |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2025-01-14 |