| NPI | 1699200378 |
|---|---|
| Former Name | ANDREA SHERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X (Licence: WI 6935-851) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2017-08-26 |