NPI | 1326083460 |
---|---|
Former Name | LYNN REYNOLDS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ND R23311) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: ND R23311) |
367500000X Nurse Anesthetist, Certified Registered (Licence: NE 100859) | |
367H00000X Anesthesiologist Assistant (Licence: ND R23311) | |
Enumeration Date | 2006-06-20 |
Last Update Date | 2019-08-22 |