| 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 |