NPI | 1396532065 |
---|---|
Former Name | ANDREA DRUK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 6203483-4405) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2025-04-24 |
Last Update Date | 2025-09-03 |