| NPI | 1063148674 |
|---|---|
| Former Name | REBECCA PULLIAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0997748-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO APN.0997748-NP) |
| Enumeration Date | 2022-07-26 |
| Last Update Date | 2022-08-30 |