| NPI | 1083015440 |
|---|---|
| Former Name | NINA ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9264383) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9264383) |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2022-11-22 |