| NPI | 1306377023 |
|---|---|
| Former Name | ANDREA ALEXIS GALLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 8432-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 178314-030) |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2018-07-04 |