NPI | 1255981338 |
---|---|
Former Name | ALEXANDRA CHRISTINE COAD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11003347) |
Additional Taxonomies | 207N00000X Dermatology (Licence: FL 11003347) |
Enumeration Date | 2019-09-19 |
Last Update Date | 2025-01-22 |