NPI | 1265183941 |
---|---|
Former Name | ANDREA MICHELE WESTBROOK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A465413) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 11522) |
363LF0000X Nurse Practitioner, Family (Licence: MN 8844) | |
Enumeration Date | 2022-01-13 |
Last Update Date | 2022-01-13 |