NPI | 1619405602 |
---|---|
Former Name | ANDREA CONSTANCE BINKOWSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2016035602) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO F09161103) |
Enumeration Date | 2017-06-02 |
Last Update Date | 2025-01-06 |