| NPI | 1497385249 |
|---|---|
| Former Name | REBECCA NICOLE MULLIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5019908) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 366254) |
| Enumeration Date | 2020-01-21 |
| Last Update Date | 2024-10-21 |