NPI | 1336705433 |
---|---|
Former Name | ALEXANDRA BORDERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0134286) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 072345-23) |
Enumeration Date | 2019-05-14 |
Last Update Date | 2023-08-15 |