| NPI | 1982157301 |
|---|---|
| Former Name | REBEKAH MICHELLE HALLERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: UT 9847199-1206) |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2019-09-16 |