| NPI | 1902243447 |
|---|---|
| Former Name | REBECCA LYNNE ROSS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN56156-FNP-BC) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WV 56156) |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2021-01-04 |