NPI | 1376099242 |
---|---|
Former Name | ALEXANDRA HARDEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MI 4704289451) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO APN.0992532-NP) |
Enumeration Date | 2016-08-30 |
Last Update Date | 2023-11-08 |