NPI | 1831917707 |
---|---|
Former Name | TESSA LUNA REITER |
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 10033619) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2024-09-30 |
Last Update Date | 2024-10-05 |