| NPI | 1629435862 |
|---|---|
| Former Name | KATHRYN MARIE REYNOLDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN216398) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN216398) |
| Enumeration Date | 2016-01-19 |
| Last Update Date | 2018-11-30 |