| NPI | 1427333186 |
|---|---|
| Former Name | REBECCA L CARMODY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA09028) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9106186) |
| Enumeration Date | 2011-10-13 |
| Last Update Date | 2023-01-16 |