| NPI | 1588922488 |
|---|---|
| Former Name | ANDREA MARIE SMIENS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MN 65179) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: WI 65014) | |
| Enumeration Date | 2012-04-27 |
| Last Update Date | 2019-06-28 |