NPI | 1285636407 |
---|---|
Other Name | REBECCA A. MISJA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA 291053) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024095207) |
363LF0000X Nurse Practitioner, Family (Licence: PA SP01065) | |
Enumeration Date | 2005-06-01 |
Last Update Date | 2022-09-21 |