| NPI | 1457979841 |
|---|---|
| Former Name | REBECCA REYNOLDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.026634) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.416374) |
| Enumeration Date | 2020-07-11 |
| Last Update Date | 2025-01-31 |