NPI | 1902227127 |
---|---|
Former Name | REBECCA L DONALDSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 72211) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NM R66850) |
Enumeration Date | 2013-12-16 |
Last Update Date | 2023-03-28 |