| NPI | 1427585413 | 
|---|---|
| Former Name | ALEXANDRA A MALOOLEY | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024174318) | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024174318) | 
| Enumeration Date | 2017-05-22 | 
| Last Update Date | 2024-07-01 |