| NPI | 1093157166 |
|---|---|
| Former Name | ALEXANDRIA PATRICE SHIRLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: NY 382443) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 657910) |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2020-12-30 |