NPI | 1669002846 |
---|---|
Former Name | ANDREA COOVER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 79215) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95028527) |
363L00000X Nurse Practitioner (Licence: FL APRN11038524) | |
Enumeration Date | 2020-01-16 |
Last Update Date | 2025-07-17 |