| NPI | 1023002623 |
|---|---|
| Former Name | JOAN MARIE REITZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R133447) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA RN347349L) |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2022-01-10 |