| 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 |