| NPI | 1942457734 |
|---|---|
| Former Name | REBECCA SUE WARNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085-003248) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: IL 085-003248) |
| Enumeration Date | 2008-08-22 |
| Last Update Date | 2022-07-11 |