NPI | 1093028037 |
---|---|
Former Name | JENNIFER RENEE REISZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WD0400X Registered Nurse, Diabetes Educator (Licence: KY 1087693) |
Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: KY 129923) |
Enumeration Date | 2010-07-20 |
Last Update Date | 2024-01-24 |