| NPI | 1083492532 |
|---|---|
| Former Name | AUDRA MARIE HEDRICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71014396A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28244569A) |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: IN 71014396A) | |
| Enumeration Date | 2023-09-18 |
| Last Update Date | 2024-08-06 |