NPI | 1477891216 |
---|---|
Professional Name | REBECCA A. FENN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0003947) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110004135) |
Enumeration Date | 2013-01-29 |
Last Update Date | 2021-10-08 |