| NPI | 1720540677 |
|---|---|
| Former Name | REBECCA J WASHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT NUR-APRN-LIC-160710) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MT NUR-RN-LIC-40620) |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2022-10-20 |