| NPI | 1467634048 |
|---|---|
| Former Name | AUDREA K ARIAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MO 137476) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MI 4704218696) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH NP06590) | |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2022-05-19 |