| NPI | 1073630257 |
|---|---|
| Former Name | ANGELA MAE REAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 3394) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 20040001-22) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2013-03-11 |