NPI | 1255013660 |
---|---|
Former Name | SAMANTHA ROSE REDDINGTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024187842) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0024187842) |
Enumeration Date | 2023-08-04 |
Last Update Date | 2023-09-13 |