NPI | 1013454164 |
---|---|
Former Name | DESSIA J LAXTON-REINKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 9024) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL RN9358795) |
363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9358795) | |
Enumeration Date | 2017-01-27 |
Last Update Date | 2024-10-11 |