NPI | 1083893705 |
---|---|
Former Name | CRISTEN JAYNE REDEKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MN R172649-3) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: KY 5368P) |
Enumeration Date | 2007-10-30 |
Last Update Date | 2022-11-09 |