NPI | 1699199257 |
---|---|
Former Name | REBECCA ANN DEGG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WY 54024) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 347676) |
363LF0000X Nurse Practitioner, Family (Licence: TX AP125314) | |
Enumeration Date | 2014-02-18 |
Last Update Date | 2024-08-20 |