| NPI | 1144862806 |
|---|---|
| Former Name | KALNETTIE DESHOND ANDREWS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN245062) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 10632) |
| Enumeration Date | 2019-10-15 |
| Last Update Date | 2024-01-29 |