| NPI | 1619100104 |
|---|---|
| Former Name | REBECCA J MONK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: TX N9023) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA 203238) |
| Enumeration Date | 2009-08-31 |
| Last Update Date | 2020-11-05 |