| 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 |