NPI | 1144826975 |
---|---|
Former Name | REBEKAH SHAN HOLCOMBE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 2020004149) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 201272) |
Enumeration Date | 2020-12-07 |
Last Update Date | 2024-04-18 |