NPI | 1750701827 |
---|---|
Former Name | REBECCA CAROLE MORRAL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00785600) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA056790) |
Enumeration Date | 2014-04-16 |
Last Update Date | 2024-10-28 |