| NPI | 1194543462 |
|---|---|
| Former Name | BOBBI LYNN RADEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult (Licence: MN R226078-3) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R226078-3) |
| Enumeration Date | 2024-09-26 |
| Last Update Date | 2024-12-23 |