| NPI | 1184821274 |
|---|---|
| Former Name | REBEKAH C HERTIG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: KS 15-01225) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WI 2139-023) |
| 363AM0700X Physician Assistant, Medical (Licence: WI 2139023) | |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2024-09-11 |