| NPI | 1528682127 |
|---|---|
| Former Name | ANDRIANA LOVE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301508710) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC LL84235) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-05-31 |
| Last Update Date | 2023-07-03 |