NPI | 1518241157 |
---|---|
Former Name | REBECCA JANE ROCCO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA OA002767) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA055042) |
Enumeration Date | 2011-09-30 |
Last Update Date | 2023-07-25 |