| NPI | 1760884852 |
|---|---|
| Former Name | CHARMAINE A REYNOLDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1059196) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F345764) |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2021-11-08 |