| NPI | 1235816810 |
|---|---|
| Former Name | LORYN ELIZABETH REYNOLDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 4005860) |
| Enumeration Date | 2023-07-05 |
| Last Update Date | 2023-10-26 |