NPI | 1922163195 |
---|---|
Former Name | REBECCA C OWENS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5001452) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 26519) |
Enumeration Date | 2006-12-27 |
Last Update Date | 2025-01-18 |