| NPI | 1265810212 |
|---|---|
| Former Name | BRIELLE MARIE REINECK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9405247) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209012798) |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2022-08-28 |