| NPI | 1376941534 |
|---|---|
| Former Name | REBECCA ANN PENNINGTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3009184) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3009184) |
| Enumeration Date | 2014-12-19 |
| Last Update Date | 2018-05-07 |