| NPI | 1689011520 |
|---|---|
| Former Name | ANDREA MARIE AHRENDSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA 42287) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD60623728) |
| Enumeration Date | 2013-06-02 |
| Last Update Date | 2022-07-21 |