| NPI | 1083137624 |
|---|---|
| Former Name | REBECCA ANN PHARRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP09430) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX API34446) |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2020-01-31 |