| NPI | 1285797134 |
|---|---|
| Former Name | REBECCA LOUISE SNYDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110003056) |
| 363A00000X Physician Assistant (Licence: MD C0004549) | |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2018-03-01 |