| NPI | 1417273376 |
|---|---|
| Former Name | ANDREA NICOLE LARSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: OR THW000013) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OR THW000013) |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2024-11-05 |