NPI | 1275884645 |
---|---|
Former Name | REBECCA LEIGH LOONEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 19922) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL 9382864) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 19922) | |
Enumeration Date | 2012-09-26 |
Last Update Date | 2023-04-04 |