NPI | 1265528707 |
---|---|
Former Name | MAUREEN JACQUELINE REIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN149081NP) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA RN149081NP) |
Enumeration Date | 2006-10-04 |
Last Update Date | 2023-03-07 |