NPI | 1700015666 |
---|---|
Former Name | ANDREA COMISKY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OR 200850135NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 200850135NP) |
Enumeration Date | 2009-07-13 |
Last Update Date | 2015-07-31 |