| NPI | 1144686429 |
|---|---|
| Former Name | REBECCA LYNNE DERR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: MO 2004004971) |
| Enumeration Date | 2016-01-03 |
| Last Update Date | 2016-01-03 |