| NPI | 1235413840 |
|---|---|
| Other Name | REBECCA RADENBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID 65519) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MD DX3114) |
| 133V00000X Dietitian, Registered (Licence: 01025548) | |
| 363L00000X Nurse Practitioner (Licence: ID TEMP65519) | |
| Enumeration Date | 2011-09-30 |
| Last Update Date | 2023-02-27 |