NPI | 1457634289 |
---|---|
Former Name | MELODY REDDING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP120910) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 717854) |
Enumeration Date | 2011-09-28 |
Last Update Date | 2015-07-17 |