NPI | 1033949631 |
---|---|
Former Name | TROYAH ERIN REDDICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX 1175647) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 958292) |
Enumeration Date | 2024-08-07 |
Last Update Date | 2024-09-19 |