| NPI | 1356065544 |
|---|---|
| Former Name | REBEKAH MARLIE DENMARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11020926) |
| Enumeration Date | 2022-09-30 |
| Last Update Date | 2022-09-30 |