NPI | 1528433992 |
---|---|
Former Name | ANDREA WEST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH 18495) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: OR 202205782NP-PP) |
Enumeration Date | 2015-12-10 |
Last Update Date | 2023-04-13 |