| NPI | 1093034191 |
|---|---|
| Former Name | REBECKA MARIE MOWDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: MA RN239049) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN239049) |
| Enumeration Date | 2010-05-28 |
| Last Update Date | 2012-08-30 |