| NPI | 1801114392 |
|---|---|
| Former Name | ANDREA MORGAN FULLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 67733) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA md448658) |
| Enumeration Date | 2010-05-10 |
| Last Update Date | 2020-07-14 |