| NPI | 1932370723 |
|---|---|
| Former Name | ANDREA SUSAN WALBORN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9443100) |
| Additional Taxonomies | 364SM0705X Clinical Nurse Specialist, Medical-Surgical (Licence: FL ARNP9443100) |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2022-07-21 |