NPI | 1962780908 |
---|---|
Former Name | ANDREA DELAGARDE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 336914) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F336914-1) |
Enumeration Date | 2011-07-25 |
Last Update Date | 2022-12-21 |