NPI | 1295367860 |
---|---|
Former Name | REBEKA ROKHSAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA F01201713) |
Additional Taxonomies | 163WS0121X Registered Nurse, Plastic Surgery (Licence: CA 795417) |
Enumeration Date | 2020-02-11 |
Last Update Date | 2020-02-11 |