NPI | 1366774895 |
---|---|
Former Name | CANDACE MICHELLE REYNOLDS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 1102842) |
Enumeration Date | 2010-02-09 |
Last Update Date | 2012-10-22 |