| NPI | 1922569698 |
|---|---|
| Former Name | ANDREA MARIE OMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95020812) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA 789792) |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2023-02-13 |