| NPI | 1972062008 |
|---|---|
| Former Name | REBECCA MARIE MUSGRAVE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CT 74950) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 279792) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2023-09-07 |