| NPI | 1619629656 |
|---|---|
| Former Name | REBECKA ASHLEY ORTEGA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AZ 219151) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ 219151) |
| Enumeration Date | 2022-01-20 |
| Last Update Date | 2023-05-13 |