NPI | 1659662666 |
---|---|
Former Name | KATHERINE A REDDING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9403236) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R057185) |
363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP011336) | |
Enumeration Date | 2011-04-25 |
Last Update Date | 2017-04-13 |