NPI | 1770758021 |
---|---|
Former Name | REBECCA JEAN PAYOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN3067412) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP3067412) |
Enumeration Date | 2008-04-28 |
Last Update Date | 2024-09-03 |