NPI | 1053720623 |
---|---|
Former Name | ELIZABETH REINKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 1034897) |
Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: MA RN2274480) |
Enumeration Date | 2014-08-08 |
Last Update Date | 2024-07-15 |