NPI | 1871741959 |
---|---|
Former Name | REBEKAH LEIGH SYPNIEWSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95003309) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2008-09-03 |
Last Update Date | 2018-01-18 |