| NPI | 1841229937 |
|---|---|
| Former Name | NICOLE A REIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 3638) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9103458) |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2013-05-16 |