| NPI | 1871917435 |
|---|---|
| Former Name | ANDELINA MORAIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209.011183) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209.011183) |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2016-06-17 |