NPI | 1871954636 |
---|---|
Former Name | LYDIA JANE KAEDING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209013873) |
Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: IL 209013873) |
Enumeration Date | 2016-03-08 |
Last Update Date | 2016-03-21 |