| NPI | 1205194370 |
|---|---|
| Former Name | ANDREA N RYAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IA MD-42062) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD-42062) |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2019-01-02 |