| NPI | 1962639831 |
|---|---|
| Former Name | REBECCA SUZANNE HOODECHECK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: WA MD60356693) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MO 2010014001) |
| 207R00000X Internal Medicine (Licence: IL 125.056329) | |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2016-04-12 |