| NPI | 1609015577 |
|---|---|
| Former Name | REBECCA JUDENE GARNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IA 38581) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 248293-1) |
| Enumeration Date | 2009-02-17 |
| Last Update Date | 2021-10-13 |