| NPI | 1588132096 |
|---|---|
| Former Name | KRISTINA MARIE REYNOLDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ 218593) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ 218593) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: AZ 218593) | |
| Enumeration Date | 2018-11-02 |
| Last Update Date | 2024-12-13 |