| NPI | 1518907799 | 
|---|---|
| Former Name | ANDREA M WINKLE | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: KY PA2074) | 
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: WV 00772) | 
| Enumeration Date | 2006-06-07 | 
| Last Update Date | 2016-05-06 |