NPI | 1487137931 |
---|---|
Former Name | REBEKAH FINE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 001011715) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2018-09-11 |
Last Update Date | 2021-12-22 |