NPI | 1457655094 |
---|---|
Former Name | REBECCA HAAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 4578) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5020956) |
Enumeration Date | 2010-12-22 |
Last Update Date | 2025-06-06 |