NPI | 1205373750 |
---|---|
Former Name | REBECCA OVERFELT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9312651) |
Additional Taxonomies | 208D00000X General Practice (Licence: FL ARNP9312651) |
Enumeration Date | 2017-01-23 |
Last Update Date | 2022-11-08 |