NPI | 1982190948 |
---|---|
Former Name | JOY ELIZABETH REETZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201908666NP-PP) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: OR 201042948RN) |
363LF0000X Nurse Practitioner, Family (Licence: WA AP60968858) | |
Enumeration Date | 2018-07-02 |
Last Update Date | 2021-06-04 |