| NPI | 1891460622 |
|---|---|
| Former Name | ANDI JIN WISE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IA H174633) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R203167) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024182376) | |
| Enumeration Date | 2021-08-13 |
| Last Update Date | 2024-06-26 |