| NPI | 1760099162 |
|---|---|
| Former Name | ANDREA JUNE HORNAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WI 10543-33) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: WI 200488-30) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: WI 10543-33) | |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2020-12-03 |