| NPI | 1275987588 |
|---|---|
| Former Name | REBECCA-LYN SOKOLOVE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD60934374) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2016-04-22 |
| Last Update Date | 2024-05-09 |