| NPI | 1033150024 |
|---|---|
| Former Name | ANDREA L. NELLERMOE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ND 13010) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 43686) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2018-05-07 |