NPI | 1962738583 |
---|---|
Former Name | REBECCA M PLUTT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: SC 19446) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 19446) |
363L00000X Nurse Practitioner (Licence: PA SP009642) | |
Enumeration Date | 2009-11-02 |
Last Update Date | 2024-07-12 |