NPI | 1285765743 |
---|---|
Former Name | REBEKAH EULIANO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110001424) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: VA 0110001424) |
363AM0700X Physician Assistant, Medical (Licence: DC PA030834) | |
Enumeration Date | 2007-03-08 |
Last Update Date | 2024-08-07 |