| NPI | 1194280156 |
|---|---|
| Former Name | ANDRIA JO HOMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SD CP001529) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SD CP001529) |
| Enumeration Date | 2019-02-04 |
| Last Update Date | 2019-06-10 |