| NPI | 1730180720 |
|---|---|
| Former Name | PATRICIA ANN REYNOLDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: FL AY218) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: FL AY218) |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2007-07-30 |