| NPI | 1255987079 |
|---|---|
| Former Name | REBECCA LORENE POPP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-78974-102) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK M72390) |
| 163W00000X Registered Nurse (Licence: KS 13-79843-102) | |
| Enumeration Date | 2019-08-16 |
| Last Update Date | 2022-07-28 |