| NPI | 1003279209 |
|---|---|
| Former Name | ANDREA GRACE HUTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VC0300X (Licence: CA A151537) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207V00000X Obstetrics & Gynecology (Licence: CA A151537) | |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2024-04-26 |