| NPI | 1699896001 |
|---|---|
| Former Name | CHRISTINE MARIE REYNOLDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 007098-1) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2021-12-06 |