| NPI | 1841498052 | 
|---|---|
| Former Name | FAE M REULE | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ND r28630) | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ND R28630) | 
| Enumeration Date | 2007-07-10 | 
| Last Update Date | 2023-04-06 |