| NPI | 1881822864 |
|---|---|
| Former Name | NICOLE MARIE REYNOLDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: VA 0101251257) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101251257) |
| 207L00000X Anesthesiology (Licence: VA 0101251257) | |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2023-06-23 |