| NPI | 1083302475 |
|---|---|
| Former Name | ANDREA STOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN R179788-8) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ND R-32860) |
| Enumeration Date | 2023-04-25 |
| Last Update Date | 2023-04-25 |