| NPI | 1326294422 |
|---|---|
| Former Name | ANDREA LYNN MISSANT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0600X Registered Nurse, Gerontology (Licence: FL 9177698) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: FL 50-1630) |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2016-01-15 |