| NPI | 1710200258 |
|---|---|
| Former Name | ANDREA E HALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: VA 3530) |
| Additional Taxonomies | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: VA 3530) |
| 363AS0400X Physician Assistant, Surgical | |
| Enumeration Date | 2010-03-11 |
| Last Update Date | 2016-03-04 |