NPI | 1225526858 |
---|---|
Former Name | ANDREA STURDEVANT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: MN 69044) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2018-04-30 |
Last Update Date | 2021-07-16 |