| NPI | 1467736553 |
|---|---|
| Former Name | REBECCA LYNN REEVE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-08556) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CT 002860) |
| 363AM0700X Physician Assistant, Medical (Licence: CT 002860) | |
| 363AS0400X Physician Assistant, Surgical (Licence: CT 002860) | |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2021-10-18 |