| NPI | 1821409467 |
|---|---|
| Former Name | ANDREA WOODSMALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71004999A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28179360A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 28179360A) | |
| Enumeration Date | 2014-05-16 |
| Last Update Date | 2021-03-25 |