NPI | 1902992597 |
---|---|
Former Name | BARBARA SUE REDING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: IN 71002136A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71002136A) |
363LP2300X Nurse Practitioner, Primary Care (Licence: FL ARNP9433284) | |
Enumeration Date | 2006-10-04 |
Last Update Date | 2017-07-26 |