| NPI | 1760006886 |
|---|---|
| Former Name | TANI REYNOLDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: OK R0094325) |
| Additional Taxonomies | 364SG0600X Clinical Nurse Specialist Gerontology (Licence: OK 94325) |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2020-09-04 |