NPI | 1497193247 |
---|---|
Former Name | ELLEN KATHERINE MCANDREWS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP9297852) |
Enumeration Date | 2013-06-13 |
Last Update Date | 2020-02-03 |