NPI | 1689984841 |
---|---|
Former Name | ANDREA M BAUER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 4221-33) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 143378) |
Enumeration Date | 2010-10-20 |
Last Update Date | 2025-03-24 |