| NPI | 1871841478 |
|---|---|
| Former Name | ANDREA LYNN SOUSA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: NJ 26NJ00389500) |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2019-07-05 |