NPI | 1689229296 |
---|---|
Former Name | ANDREA CHRISTINE JAMES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209019148) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209019148) |
363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209019148) | |
Enumeration Date | 2019-08-09 |
Last Update Date | 2021-03-24 |