| NPI | 1952327413 |
|---|---|
| Former Name | REBECCA O'BRIEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NY 011249) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 011249) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2018-04-04 |