| NPI | 1962647651 |
|---|---|
| Former Name | GWENDOLYN MICHELLE REYNOLDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: MS A023062) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: MS A023062) |
| 376J00000X Homemaker (Licence: MS A023062) | |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2008-12-09 |