| NPI | 1982052130 |
|---|---|
| Former Name | REBEKAH FRAZIER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME144152) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 267382) |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2023-06-15 |