| NPI | 1912655234 |
|---|---|
| Former Name | JOAN REBEKAH WILLIAMSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5016963) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC MONR-OJRKB) |
| Enumeration Date | 2022-03-15 |
| Last Update Date | 2024-04-29 |