| NPI | 1710353651 |
|---|---|
| Other Name | AUDREY M ADDAQUAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 7046-33) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024172862) |
| Enumeration Date | 2015-08-14 |
| Last Update Date | 2016-07-14 |