| NPI | 1922412717 |
|---|---|
| Former Name | ANDREA MARIE WATTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036147902) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MO 2021031985) |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2023-03-02 |