| NPI | 1972867380 |
|---|---|
| Former Name | MICHELLE L REINHOLDT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD60655668) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 56696) |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2016-08-23 |