| NPI | 1023761905 |
|---|---|
| Former Name | MINDY ALLISON REICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: SC 25442) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 25442) |
| Enumeration Date | 2022-01-31 |
| Last Update Date | 2022-12-20 |