| NPI | 1700635752 |
|---|---|
| Former Name | REBECCA JEAN UNDERWOOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704316395) |
| Enumeration Date | 2024-05-14 |
| Last Update Date | 2024-05-14 |