NPI | 1669650156 |
---|---|
Former Name | CAROLYN ANDREWS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 9335545) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-046688) |
Enumeration Date | 2008-02-06 |
Last Update Date | 2014-06-06 |