| NPI | 1548431208 |
|---|---|
| Former Name | LISA CAROL REYNOLDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KY 39663) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY 39663) |
| 208M00000X Hospitalist (Licence: KY 39663) | |
| Enumeration Date | 2008-03-20 |
| Last Update Date | 2021-08-24 |