| NPI | 1205516044 |
|---|---|
| Former Name | ALEXANDRIA NICOLE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1129739) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: TX 899116) |
| Enumeration Date | 2023-07-18 |
| Last Update Date | 2024-04-16 |