NPI | 1992852198 |
---|---|
Former Name | REBECCA J. STILL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL OS15827) |
Additional Taxonomies | 171000000X Military Health Care Provider |
207R00000X Internal Medicine (Licence: CA 20A9934) | |
207RG0100X Internal Medicine, Gastroenterology (Licence: CA 20A9934) | |
Enumeration Date | 2007-01-03 |
Last Update Date | 2020-01-10 |