| NPI | 1881784957 |
|---|---|
| Former Name | REBECCA REID BRECKENRIDGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: SC 28148) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: SC LL28148) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2020-06-01 |