NPI | 1326518325 |
---|---|
Former Name | KAREN MUTCH REYNOLDS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: CA G67445) |
Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA G67445) |
Enumeration Date | 2018-12-03 |
Last Update Date | 2022-01-28 |