| NPI | 1407956303 |
|---|---|
| Former Name | CAROL E REYNOLDS-NICHOLSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: ME 015481) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME 015481) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2014-04-01 |