| NPI | 1659049120 |
|---|---|
| Former Name | REBEKAH NICOLE WHITE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA OA005812) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA062836) |
| Enumeration Date | 2021-08-31 |
| Last Update Date | 2023-12-22 |