| NPI | 1679147961 |
|---|---|
| Former Name | ANDREA GRIFFIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: VT 135-0000065) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2021-05-19 |
| Last Update Date | 2022-11-30 |