| NPI | 1033404496 |
|---|---|
| Former Name | COURTNEY REAP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WI 4561-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 165105) |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2019-04-26 |