| NPI | 1912142225 |
|---|---|
| Former Name | REBECCA E HALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ AP3127) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ RN110245) |
| Enumeration Date | 2008-12-16 |
| Last Update Date | 2022-07-21 |