NPI | 1679956379 |
---|---|
Former Name | REBECCA S REEDY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: IA F148815) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: IL 209.012729) |
Enumeration Date | 2015-06-30 |
Last Update Date | 2019-06-25 |