| NPI | 1942202494 |
|---|---|
| Former Name | SHIRLEY R TREDEAU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: MI 4704245825) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MI 4704245825) |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2008-10-06 |