| NPI | 1487185997 |
|---|---|
| Former Name | JACLYN MARIE REINEMANN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 64173) |
| Additional Taxonomies | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: MN 64173) |
| Enumeration Date | 2017-03-26 |
| Last Update Date | 2024-03-08 |