| NPI | 1659849313 |
|---|---|
| Former Name | REBECCA ANNE SCHNEIDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WI 5284) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OR 190720) |
| Enumeration Date | 2018-11-10 |
| Last Update Date | 2023-12-13 |