| NPI | 1528343811 |
|---|---|
| Former Name | REBECCA MACE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209004318) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209004318) |
| Enumeration Date | 2011-10-18 |
| Last Update Date | 2024-11-05 |