| NPI | 1689630410 |
|---|---|
| Former Name | INGRID PADBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 200550045NPPP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA 1113222) |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2021-07-16 |