| NPI | 1720263189 |
|---|---|
| Former Name | ANDREA BAIRD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 4152) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 3329-033) |
| Enumeration Date | 2008-01-04 |
| Last Update Date | 2025-11-24 |