| NPI | 1023563707 |
|---|---|
| Former Name | DEANDRA RENEE HINDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 339860) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 604519) |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2016-08-24 |