| NPI | 1912366535 |
|---|---|
| Former Name | REBECCA JANE BECKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704171212) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MI 4704171212) |
| Enumeration Date | 2016-02-11 |
| Last Update Date | 2023-11-27 |