NPI | 1245669498 |
---|---|
Former Name | REBECCA HUSSAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NC 5017539) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F-338111-1) |
Enumeration Date | 2013-11-08 |
Last Update Date | 2023-01-23 |