| NPI | 1245698174 |
|---|---|
| Former Name | ALEXANDRA FITTANTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704358480) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704358480) |
| 164W00000X Licensed Practical Nurse (Licence: WI 320127) | |
| Enumeration Date | 2016-02-06 |
| Last Update Date | 2024-10-19 |