| NPI | 1629724232 |
|---|---|
| Former Name | ANDREA LYNN HAYWOOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC0400X Registered Nurse, Case Management (Licence: IA 093561) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: IL 041342428) |
| Enumeration Date | 2022-02-23 |
| Last Update Date | 2022-02-23 |