| NPI | 1992823728 |
|---|---|
| Former Name | REATHA L STEWART |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 000030121N6 PMHNP-PP) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2007-07-08 |