| NPI | 1750724985 |
|---|---|
| Former Name | REBECCA G HENISER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10001454A) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: IN 10001454A) |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2022-01-19 |