| NPI | 1720273618 |
|---|---|
| Former Name | REBEKKA LIISA CULLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9107016) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical |
| 363AM0700X Physician Assistant Medical (Licence: MA 2399) | |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2013-10-04 |