| NPI | 1184137168 |
|---|---|
| Former Name | JALEESA RANAE ANDRADE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA SP018122) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP018122) |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2022-04-22 |