| NPI | 1417911066 |
|---|---|
| Former Name | REBECCA LYNNE VANDER SLOOT - VANDERMOLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601002996) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2022-05-26 |