| NPI | 1992788129 |
|---|---|
| Former Name | ANDREA L MEAD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO DR.0037043) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO 37043) |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2020-05-05 |