NPI | 1881392926 |
---|---|
Former Name | REBECCA ANNE PIECHUR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA PA62275) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA PA62275) |
Enumeration Date | 2023-02-17 |
Last Update Date | 2023-04-18 |