NPI | 1992182117 |
---|---|
Former Name | IQUO ANDREWS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R175457) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD F0811105) |
Enumeration Date | 2015-04-27 |
Last Update Date | 2020-09-08 |