| NPI | 1831747419 |
|---|---|
| Other Name | ANDREA ROSE D'ANDREA CAMPOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: KY PA3325) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363A00000X Physician Assistant (Licence: WV 2940) | |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2024-10-23 |