| NPI | 1164191300 |
|---|---|
| Former Name | REBECCA MICHELLE MOHNEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NH 1796) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2021-09-10 |
| Last Update Date | 2021-10-26 |