| NPI | 1255387882 |
|---|---|
| Former Name | REBECCA JACQUES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 042429-23) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NH 042429-23) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2024-07-29 |