| NPI | 1508052887 |
|---|---|
| Former Name | ANDREA MICHELLE CARLSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MN 45894) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2011-05-05 |