NPI | 1982026589 |
---|---|
Former Name | REBECCA D HODGIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71004784A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28170157A) |
Enumeration Date | 2014-01-16 |
Last Update Date | 2022-06-29 |