| NPI | 1194272781 |
|---|---|
| Former Name | REBECCA LEIGH MARQUARDT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN CNP4740) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2021-05-19 |