| NPI | 1497129159 |
|---|---|
| Professional Name | ANNAIL REESE FORT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: AL 59208) |
| Additional Taxonomies | 174H00000X Health Educator |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2015-11-18 |