| NPI | 1093798894 |
|---|---|
| Other Name | REBECCA DALE HIGGINBOTHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R668885) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1101944) |
| Enumeration Date | 2005-11-25 |
| Last Update Date | 2013-12-30 |