NPI | 1154019735 |
---|---|
Former Name | ALEXANDRIA RAIN MIDDLETON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024186608) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001274107) |
Enumeration Date | 2023-05-01 |
Last Update Date | 2023-05-01 |