| NPI | 1700023603 |
|---|---|
| Former Name | MARYBETH REILEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 004031) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: CT 004031) |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2013-08-07 |