| NPI | 1114190964 |
|---|---|
| Former Name | EMILY PAMELA REYNOLDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 049933) |
| Additional Taxonomies | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: CT 049933) |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2025-04-08 |