| NPI | 1851574057 |
|---|---|
| Former Name | ANDREA HAYDEN LANDERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 85103) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AL 29544) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KY R0957) | |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2021-01-11 |