| NPI | 1215300801 |
|---|---|
| Former Name | REBEKAH RAE DOENGES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA058235) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NJ 25MP00381600) |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2019-02-07 |