| NPI | 1790143048 |
|---|---|
| Former Name | REBECCA LYNN HAKANSSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN2298431) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2298431) |
| Enumeration Date | 2016-02-02 |
| Last Update Date | 2019-08-02 |