NPI | 1386166684 |
---|---|
Former Name | REBECCA ASHLEY KABATCHNICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NC 5009569) |
Enumeration Date | 2017-07-10 |
Last Update Date | 2022-07-21 |