NPI | 1477931012 |
---|---|
Other Name | REBECCA PARKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP014415) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SPO14415) |
Enumeration Date | 2015-05-15 |
Last Update Date | 2018-12-05 |