| NPI | 1154870624 |
|---|---|
| Former Name | MALIA ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2016035740) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-77376-011) |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2024-07-19 |