| NPI | 1093477077 |
|---|---|
| Former Name | ALEXANDRA MAYANN BEVERLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: FL 11015835) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11015835) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11015835) | |
| Enumeration Date | 2021-10-07 |
| Last Update Date | 2022-02-10 |