| NPI | 1568614022 |
|---|---|
| Former Name | ANDEAN ANDREA WILLS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY F343071-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 577868-1) |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2018-09-12 |