| NPI | 1174936124 |
|---|---|
| Former Name | REBECCA MARIE RAUB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 53211) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ R74644) |
| Enumeration Date | 2014-06-07 |
| Last Update Date | 2019-03-25 |