| NPI | 1275003394 |
|---|---|
| Former Name | KIMBERLY REIGLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 8726-33) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 8726-33) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209.020547) | |
| Enumeration Date | 2018-12-01 |
| Last Update Date | 2023-07-06 |