NPI | 1174917819 |
---|---|
Former Name | ANDREA CROOM BARTOE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5007537) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5007537) |
Enumeration Date | 2015-03-19 |
Last Update Date | 2021-04-07 |