| NPI | 1407130172 |
|---|---|
| Former Name | REBECCA L TENHOLDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MO 2020022255) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2328772) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: NC 5005977) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: VA 0024169678) | |
| Enumeration Date | 2011-09-29 |
| Last Update Date | 2021-08-19 |