| 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 |