NPI | 1306550025 |
---|---|
Former Name | ALEXANDRA MORGAN ANDRUS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OR 10004344) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: WI 13434) |
Enumeration Date | 2023-01-09 |
Last Update Date | 2024-06-12 |