| NPI | 1760617518 |
|---|---|
| Former Name | REBECCA ROSE HAUGEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: MI 5901002467) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: PA sc006287) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-05-22 |
| Last Update Date | 2018-03-17 |