NPI | 1649809732 |
---|---|
Former Name | COURTNEY REIMER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71010042A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28183130A) |
Enumeration Date | 2020-04-02 |
Last Update Date | 2022-12-22 |