NPI | 1194075853 |
---|---|
Former Name | REBECCA JOY SCHELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 313125) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00150427) |
363LF0000X Nurse Practitioner, Family (Licence: WA AP60311595) | |
Enumeration Date | 2012-09-10 |
Last Update Date | 2024-10-07 |