NPI | 1639437767 |
---|---|
Former Name | REBECCA S. DUMONT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NH 0897) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: VT 055.0031127) |
Enumeration Date | 2012-04-26 |
Last Update Date | 2015-07-13 |