NPI | 1114301793 |
---|---|
Former Name | ALEXANDRA BARRETT LUCIUS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 339858) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: NY 672428) |
Enumeration Date | 2015-07-14 |
Last Update Date | 2015-07-14 |