| NPI | 1124281845 |
|---|---|
| Former Name | ANDREA LYNN JENNINGS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 148833) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: NC 2012-01470) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2017-09-11 |