| NPI | 1336907526 |
|---|---|
| Former Name | HEIDI ANN REYNOLDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 093247-23) |
| Enumeration Date | 2024-03-12 |
| Last Update Date | 2024-03-14 |