| NPI | 1902875537 |
|---|---|
| Former Name | BRANDI REYNOLDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: SC 25209) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 25209) |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2020-09-10 |