| NPI | 1972980274 |
|---|---|
| Former Name | REBECCA LYNN LICHWALA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0036242) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9308901) |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2024-06-26 |