NPI | 1134717127 |
---|---|
Former Name | ALEXANDREA CATHERINE BILLIU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1024508) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 861329) |
363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1024508) | |
Enumeration Date | 2021-01-05 |
Last Update Date | 2021-01-05 |