| NPI | 1821292590 |
|---|---|
| Former Name | MELISSA C REYNOLDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AZ 6352) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0102202751) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2015-07-07 |