| NPI | 1588239347 |
|---|---|
| Former Name | REBECCA LYNNE HALLAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11013877) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9464135) |
| Enumeration Date | 2021-05-24 |
| Last Update Date | 2021-07-15 |