NPI | 1760888655 |
---|---|
Former Name | LOIS M. REGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: DE LP-0000123) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: DE LP-000123) |
363LG0600X Nurse Practitioner, Gerontology (Licence: DE LP-000123) | |
363LG0600X Nurse Practitioner, Gerontology (Licence: DE LP-0000123) | |
Enumeration Date | 2014-11-05 |
Last Update Date | 2015-10-19 |