NPI | 1710527098 |
---|---|
Former Name | REBECCA MARCHE ROSS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-160040) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 905707) |
Enumeration Date | 2020-01-14 |
Last Update Date | 2024-08-07 |