| NPI | 1316665896 |
|---|---|
| Former Name | ALEXA BEVERLY TROCINSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11021530) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 39) |
| Enumeration Date | 2022-08-19 |
| Last Update Date | 2022-10-06 |