| NPI | 1518265875 |
|---|---|
| Former Name | CANDICE ELAINE REYES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036.135397) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 02004466A) |
| Enumeration Date | 2011-03-09 |
| Last Update Date | 2022-08-01 |