| NPI | 1902277056 |
|---|---|
| Former Name | ADELINE ASANDAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP129503) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: TX 786779) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 786779) | |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2021-05-25 |