| NPI | 1124542436 |
|---|---|
| Former Name | REBEKKAH FRUIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 112326) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NE 1993) |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2017-09-19 |