| NPI | 1629063409 |
|---|---|
| Former Name | ANDREA D SEGUE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101237057) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OK 26247) |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2011-09-01 |