NPI | 1245851344 |
---|---|
Former Name | ALEXA SALVADOR SEQUEIRA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2313065) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: MA RN2313065) |
Enumeration Date | 2020-04-29 |
Last Update Date | 2023-07-05 |