NPI | 1740914597 |
---|---|
Former Name | REBECCA L PICKERING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0102228-C-NP) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VT 101.0135691) |
Enumeration Date | 2022-07-15 |
Last Update Date | 2024-09-11 |