| NPI | 1376531574 |
|---|---|
| Former Name | ANDREA FULLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A72844) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO 43604) |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2024-04-12 |