| NPI | 1073929378 |
|---|---|
| Former Name | REBECCA GANT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN78077NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP019493) |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2025-10-10 |