| NPI | 1326210287 |
|---|---|
| Former Name | ANDREA NICOLE NEWSOME |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 237586) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 002525) |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2013-04-02 |