| NPI | 1053822031 |
|---|---|
| Former Name | ANDREA LAUREN BUERY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA 55055) |
| Enumeration Date | 2017-10-18 |
| Last Update Date | 2017-10-18 |