NPI | 1639544166 |
---|---|
Former Name | JILL MARIE REINHART |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.18459-NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.315355-1) |
Enumeration Date | 2015-12-09 |
Last Update Date | 2015-12-09 |