| NPI | 1396903241 |
|---|---|
| Former Name | ANDREA NICOLE CLIFFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: IN 10002134A) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: IN 36001457A) |
| 363AS0400X Physician Assistant, Surgical (Licence: IN 10002134A) | |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2025-02-10 |