NPI | 1629364583 |
---|---|
Former Name | REINA EISNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9347305) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F336575) |
Enumeration Date | 2011-06-20 |
Last Update Date | 2015-01-29 |