NPI | 1922760289 |
---|---|
Former Name | ANDRIANA MAYLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WV 93469) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WV 110920) |
Enumeration Date | 2021-10-13 |
Last Update Date | 2024-01-24 |