NPI | 1902970031 |
---|---|
Former Name | REBECCA DENISE TRAFECANTY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 21149) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2006-11-20 |
Last Update Date | 2014-05-14 |