| NPI | 1447573126 |
|---|---|
| Former Name | REBECCA L CHURCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601005724) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MI 4704260468) |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2025-07-31 |