| 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 | 2025-02-10 |