NPI | 1548890072 |
---|---|
Former Name | MARY CELESTE REINKEMEYER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: KS L-131909) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 14-54685-121) |
163W00000X Registered Nurse (Licence: MO 075737) | |
163WL0100X Registered Nurse, Lactation Consultant (Licence: MO L-131909) | |
Enumeration Date | 2020-01-23 |
Last Update Date | 2020-01-23 |