NPI | 1245584754 |
---|---|
Former Name | JESSICA ANN REINHOLD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 35366) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO APN.0992844-NP) |
363L00000X Nurse Practitioner (Licence: CA NP95007213) | |
Enumeration Date | 2012-11-06 |
Last Update Date | 2024-04-10 |