| NPI | 1427585413 |
|---|---|
| Former Name | ALEXANDRA A MALOOLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024174318) |
| Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: VA 0024174318) |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2019-09-24 |