NPI | 1538728712 |
---|---|
Former Name | REBECCA WINGARD ROBERTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN238979) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN238979) |
Enumeration Date | 2019-06-11 |
Last Update Date | 2024-02-29 |