| NPI | 1407371578 |
|---|---|
| Former Name | REBECCA LOUISE OHM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024175014) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95006861) |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2017-08-09 |