| NPI | 1306161971 |
|---|---|
| Former Name | REBECCA G GASPERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-02229) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 005808) |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2022-02-01 |