| NPI | 1942564299 |
|---|---|
| Former Name | JESSICA ROSE REIF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NY F4210831) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F4210831) |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2013-02-05 |