| 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 |