NPI | 1164199923 |
---|---|
Former Name | ALEXANDRA KUGLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 347948) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN02805) |
Enumeration Date | 2021-08-27 |
Last Update Date | 2024-03-08 |