NPI | 1316256324 |
---|---|
Former Name | ALEXANDRA KOTSOVOS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY F430553) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 006551) |
Enumeration Date | 2010-09-26 |
Last Update Date | 2021-12-02 |