| NPI | 1619373941 |
|---|---|
| Former Name | REBECCA FARGEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 6195) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 17055030) |
| Enumeration Date | 2014-11-13 |
| Last Update Date | 2020-09-15 |