| NPI | 1851398135 |
|---|---|
| Former Name | REBECCA J SPANO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA 2231) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 010014) |
| 363A00000X Physician Assistant (Licence: RI PA01650) | |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2024-02-19 |