| NPI | 1134743826 |
|---|---|
| Former Name | CHELSEA ANN REYNOLDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301509191) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4351046447) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4351046447) | |
| Enumeration Date | 2020-05-29 |
| Last Update Date | 2023-06-29 |