| NPI | 1932580917 |
|---|---|
| Former Name | EMILY DANIELLE REINBOLD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SD 11168) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 11018400A) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11018400A) | |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2019-01-24 |