| NPI | 1790025443 |
|---|---|
| Former Name | REBECCA A DAUBERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CO PA.0005954) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: SC 1902) |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2013-02-18 |
| Last Update Date | 2024-05-08 |