NPI | 1972674174 |
---|---|
Other Name | SUSAN REDDIG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CA PA16190) |
Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: CA NP12924) |
Enumeration Date | 2006-11-11 |
Last Update Date | 2022-01-11 |