NPI | 1538712575 |
---|---|
Former Name | SHEKITA REDDING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN223409) |
Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: GA RN223409) |
Enumeration Date | 2019-07-18 |
Last Update Date | 2022-05-26 |