| NPI | 1124346325 |
|---|---|
| Former Name | ANDREA LYNN MIKOL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 80856) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC 36347) |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2019-01-29 |