NPI | 1629258173 |
---|---|
Former Name | ANDREA CHRISTINE HARLOW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 71006135A) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71006135A) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: GA RN185930) | |
Enumeration Date | 2007-11-13 |
Last Update Date | 2024-11-06 |