| NPI | 1508131889 |
|---|---|
| Former Name | REBEKAH AGNES ANN DIERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN CNP 0831) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 831) |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2020-11-10 |