| NPI | 1770103053 |
|---|---|
| Former Name | HALLIE BRIANNA REEVES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 904975) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 900274) |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2024-08-16 |