| NPI | 1578166492 |
|---|---|
| Former Name | KAREN ANN REARDON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R234785) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1165256) |
| Enumeration Date | 2020-11-21 |
| Last Update Date | 2022-12-15 |