| NPI | 1316792039 |
|---|---|
| Former Name | REBECCA JEAN POTEREK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61583131) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00145874) |
| Enumeration Date | 2024-04-18 |
| Last Update Date | 2025-08-20 |