| NPI | 1962907097 |
|---|---|
| Former Name | REBECCA ANNE BRUBAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-12933) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: OR AT-AT-10181353) |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2023-02-09 |