| NPI | 1003010893 |
|---|---|
| Former Name | ANDREA S MARVIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: OR MD167154) |
| Additional Taxonomies | 208800000X Urology (Licence: WA MD.MD.60650133) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2026-07-20 |