NPI | 1124302500 |
---|---|
Professional Name | MARSHA REYNOLDS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F343532-1) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 553414) |
Enumeration Date | 2011-10-04 |
Last Update Date | 2018-10-17 |