NPI | 1023317377 |
---|---|
Former Name | ANGELA NICOLE REININGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: TX P9299) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2011-03-24 |
Last Update Date | 2017-03-28 |