NPI | 1003193640 |
---|---|
Former Name | ANDREA DAWN STROBEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201250110FNP) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OR 200740315-RN) |
Enumeration Date | 2011-11-10 |
Last Update Date | 2012-09-06 |