NPI | 1649787201 |
---|---|
Former Name | ANDREA DIANE RHODES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 60693) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM 60693) |
Enumeration Date | 2018-01-04 |
Last Update Date | 2023-08-02 |